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Tennessee 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 $10,233 · 10th–90th $708$57,5440%10%20%10th90th$10,233Professionalmedian $9,333 · 10th–90th $5,012$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
$707.95 / $9,549.93 / $38,018.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $9,332.54 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $12,022.64 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $24,547.09 / $38,018.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,918.31 / $16,595.87
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $57,543.99 / $57,543.99
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60,255.96 / $89,125.09 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $10,715.19 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $12,022.64