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Oregon 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 $2,188–$26,3030%20%10th90th$12,023Professionalmedian $11,220 · 10th–90th $1,000–$19,4980%10%20%10th90th$11,220$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 / $15,135.61 / $53,703.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,549.93 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $34,673.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $13,489.63 / $20,417.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $25,703.96 / $31,622.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,022.64 / $17,378.01
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $13,803.84 / $17,782.79
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $23,988.33
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $16,982.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,595.87 / $31,622.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $13,182.57 / $17,378.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $36,307.81 / $47,863.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,232.93 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $14,454.40 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $14,454.40