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New York 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 $21,380 · 10th–90th $10,715–$36,3080%10%10th90th$21,380Professionalmedian $8,710 · 10th–90th $1,000–$19,0550%10%10th90th$8,710$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
$12,022.64 / $22,908.68 / $36,307.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,772.37 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,786.30 / $17,378.01
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,022.64 / $12,022.64
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $12,022.64 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $25,703.96 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $14,791.08 / $57,543.99
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $19,952.62 / $45,708.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,317.64 / $22,908.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $11,481.54 / $21,379.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $22,387.21 / $63,095.73
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,022.64 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $18,197.01
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $12,589.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,481.54 / $28,840.32