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North Carolina 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 $12,023 · 10th–90th $7,244–$39,8110%10%20%10th90th$12,023Professionalmedian $9,550 · 10th–90th $1,000–$15,8490%20%10th90th$9,550$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
$9,549.93 / $12,882.50 / $39,810.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,549.93 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $36,307.81 / $37,153.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $10,715.19 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $25,703.96 / $54,954.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,623.41 / $16,218.10
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $9,549.93 / $16,595.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $1,380.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,025.60 / $12,302.69
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $57,543.99 / $57,543.99
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60,255.96 / $60,255.96 / $89,125.09