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Virginia 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 $4,786–$44,6680%20%10th90th$10,233Professionalmedian $8,913 · 10th–90th $1,000–$12,0230%20%10th90th$8,913$10.0$50.0$200.0$1.0K$5.0K$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
$8,912.51 / $22,908.68 / $46,773.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $8,912.51 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $51,286.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $8,511.38
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $10,000.00 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $23,442.29 / $54,954.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,413.10 / $19,952.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $13,182.57 / $16,982.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $8,912.51 / $16,982.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $25,118.86
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $12,022.64 / $28,183.83
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $12,022.64 / $28,183.83
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 / $6,025.60 / $12,882.50