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Washington 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 $17,783 · 10th–90th $2,344–$53,7030%10%20%10th90th$17,783Professionalmedian $10,965 · 10th–90th $1,905–$23,4420%20%10th90th$10,965$100.0$500.0$2.0K$10.0K$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
$2,041.74 / $17,782.79 / $69,183.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $9,772.37 / $19,952.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $17,782.79 / $23,988.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $11,481.54 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $19,498.45 / $30,902.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $13,489.63 / $17,378.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $15,135.61 / $37,153.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $15,135.61 / $33,884.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $954.99 / $1,380.38
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $23,988.33
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $12,022.64
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $19,054.61 / $37,153.52
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $14,791.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $18,197.01 / $31,622.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $10,964.78 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,454.40 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $13,489.63
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,165.95 / $21,379.62