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Whole Genome Sequencing For An Unexplained Condition

Texas 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.

Facilitymedian $7,586 · 10th–90th $14$24,5470%10%10th90th$7,586Professionalmedian $4,677 · 10th–90th $1,995$8,7100%10%20%10th90th$4,677$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$3,801.89
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$5,011.87
Typical High
$8,317.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12,022.64
Typical High
$25,703.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$2,754.23
Typical High
$4,466.84
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$9,549.93
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$7,943.28
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$25,118.86
Median
$38,018.94
Typical High
$38,018.94
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,011.87
Typical High
$8,709.64
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$5,011.87
Typical High
$8,128.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,128.61
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,495.41
Typical High
$10,715.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,456.54
Typical High
$19,498.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$5,248.07
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$5,011.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,467.37
Typical High
$5,011.87