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Utah 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 $13,804 · 10th–90th $1,000–$23,9880%20%10th90th$13,804Professionalmedian $9,120 · 10th–90th $1,000–$12,5890%20%10th90th$9,120$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,000.00 / $3,162.28 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,120.11 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $12,589.25 / $33,113.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $13,803.84 / $21,877.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $48,977.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $10,232.93 / $12,022.64
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $11,748.98 / $12,022.64
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,471.29 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $6,025.60 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $12,022.64