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Whole Genome Sequencing For An Unexplained Condition

Delaware rates for HCPCS 81425

Reads essentially all of a person's DNA in one test, looking for the change behind an unexplained condition that may have been present from birth or that runs in the family. It goes wider than tests that read only the protein-coding stretches of the genes, which are a separate service. Results take weeks, and findings unrelated to the original question can turn up.

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $3,236 to $7,413Professionalmedian $3,020 · 10th to 90th $2,089 to $10,965
$2K$5K$10K$20Kfacility $3,236professional $3,020

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$23,988.33
United
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$7,585.78