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Texas 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 $17,378 · 10th–90th $2,951–$57,5440%10%10th90th$17,378Professionalmedian $8,913 · 10th–90th $1,000–$14,4540%20%10th90th$8,913$2.0$20.0$200.0$2.0K$20.0K

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
$7,943.28 / $19,054.61 / $61,659.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,332.54 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $28,840.32 / $61,659.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6,606.93 / $9,549.93
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $12,022.64 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $21,877.62 / $51,286.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $11,220.18 / $20,892.96
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $12,022.64 / $22,387.21
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $10,232.93 / $16,982.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,882.50 / $25,703.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $12,022.64 / $27,542.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $12,302.69 / $21,877.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $12,022.64
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,317.64 / $12,022.64