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New Mexico 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 $18,197 · 10th–90th $7,244–$39,8110%10%20%10th90th$18,197Professionalmedian $9,772 · 10th–90th $1,000–$17,3780%10%20%10th90th$9,772$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
$18,197.01 / $38,904.51 / $39,810.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,772.37 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,772.37 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $13,489.63 / $17,378.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $18,620.87 / $25,703.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $12,022.64 / $21,877.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $13,489.63 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $10,715.19 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $8,912.51