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California rates for HCPCS 81426

Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)

Facilitymedian $5,248 · 10th–90th $1,000–$13,4900%10%10th90th$5,248Professionalmedian $3,548 · 10th–90th $1,349–$17,7830%10%20%10th90th$3,548$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,754.40 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $8,128.31 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,000.00 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,388.44 / $7,244.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $6,165.95 / $7,943.28
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,187.76 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,786.30 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,995.26 / $5,888.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,951.21 / $3,630.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,951.21 / $4,786.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $12,882.50
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $20,417.38 / $20,417.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,548.13 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,951.21 / $5,370.32
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $5,370.32