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Nebraska 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 $1,585–$58,8840%10%10th90th$12,023Professionalmedian $9,120 · 10th–90th $7,244–$79,4330%10%20%10th90th$9,120$2.0K$5.0K$10.0K$20.0K$50.0K

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
$4,073.80 / $28,840.32 / $58,884.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,120.11 / $79,432.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,513.56 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $18,620.87 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $22,908.68 / $28,840.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $18,197.01 / $57,543.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $34,673.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,244.36 / $23,988.33