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South Carolina 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 $16,982 · 10th–90th $8,318–$57,5440%20%10th90th$16,982Professionalmedian $9,333 · 10th–90th $1,905–$14,4540%20%40%10th90th$9,333$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
$8,317.64 / $16,982.44 / $57,543.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $9,549.93 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $13,803.84 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,882.50 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $39,810.72 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,025.60 / $14,454.40
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,715.19 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,022.64 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $12,022.64