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Minnesota rates for HCPCS 81416

Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure)

Facilitymedian $13,804 · 10th–90th $813–$79,4330%20%10th90th$13,804Professionalmedian $2,754 · 10th–90th $2,188–$15,1360%20%40%10th90th$2,754$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $9,772.37 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $2,754.23 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $44,668.36 / $109,647.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $17,378.01 / $24,547.09
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $37,153.52 / $79,432.82
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $22,908.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $20,892.96 / $38,018.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $27,542.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $12,022.64 / $26,302.68