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Re-Analysis of a Previous Exome Test

North Carolina 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?

$257

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $288 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 6 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$257$229 to $331
FacilityA hospital or hospital-owned outpatient department$288$257 to $537

How much rates vary

Facilitymedian $288 · 10th to 90th $245 to $1,072Professionalmedian $257 · 10th to 90th $148 to $457
$200$500$1Kfacility $288professional $257

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
$199.53
Median
$281.84
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$288.40
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$691.83
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$338.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,398.83

Where North Carolina 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.

North Carolina· 44th of 51

$257

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.