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New Jersey 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 $15,849 · 10th–90th $1,288–$72,4440%10%10th90th$15,849Professionalmedian $8,913 · 10th–90th $1,000–$14,4540%10%20%10th90th$8,913$100.0$500.0$2.0K$10.0K$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
$1,288.25 / $15,848.93 / $72,443.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,332.54 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $26,302.68 / $54,954.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $11,481.54 / $17,782.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $8,317.64 / $17,378.01
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $12,022.64 / $29,512.09
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $9,549.93 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $10,715.19 / $24,547.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $12,302.69