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Re-Analysis of a Previous Exome Test

Pennsylvania 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?

$269

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $537 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 9 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$251 to $302
FacilityA hospital or hospital-owned outpatient department$537$339 to $933

How much rates vary

Facilitymedian $537 · 10th to 90th $269 to $1,413Professionalmedian $257 · 10th to 90th $174 to $794
$200$500$1K$2Kfacility $537professional $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
$269.15
Median
$537.03
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$2,089.30
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$724.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$416.87
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$707.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$676.08
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$1,148.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$794.33
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$446.68

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$269

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.