go back

Re-Analysis of a Previous Exome Test

Massachusetts rates for HCPCS 81417

A fresh review of the data from a whole-exome analysis that was already carried out, examining it again in the light of newer scientific knowledge or a new clinical question. No new sample is needed, because the stored sequence data is what gets re-examined.

Rates data updated July 2026.

How much does Re-Analysis of a Previous Exome Test cost?

$324

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $468 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$257 to $324
FacilityA hospital or hospital-owned outpatient department$468$324 to $912

How much rates vary

Facilitymedian $468 · 10th to 90th $224 to $1,047Professionalmedian $324 · 10th to 90th $191 to $794
$200$500$1K$2K$5Kfacility $468professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$549.54
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$954.99
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$1,047.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$831.76
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$537.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$537.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$1,047.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$616.60

Where Massachusetts sits

The same service costs 3.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 24th of 51

$324

AK $724VT $224

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.