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Re-Analysis of a Previous Exome Test

New Mexico 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?

$380

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $479 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 4 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$355$240 to $380
FacilityA hospital or hospital-owned outpatient department$479$288 to $955

How much rates vary

Facilitymedian $479 · 10th to 90th $209 to $1,023Professionalmedian $355 · 10th to 90th $135 to $2,089
$200$500$1K$2Kfacility $479professional $355

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$954.99
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$288.40
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$288.40
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$190.55

Where New Mexico 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.

New Mexico· 8th of 51

$380

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.