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Molecular Pathology Interpretation and Report

Illinois rates for HCPCS G0452

Molecular pathology procedure; physician interpretation and report

Rates data updated July 2026.

How much does Molecular Pathology Interpretation and Report cost?

$48.98

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $8.32 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 7 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$50.12$45.71 to $67.61
FacilityA hospital or hospital-owned outpatient department$8.32$5.75 to $48.98

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $79Professionalmedian $50 · 10th to 90th $16 to $78
$5$10$20$50$100$200facility $8professional $50

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
$3.98
Median
$6.61
Typical High
$48.98
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$44.67
Median
$45.71
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$45.71
Typical High
$52.48
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$45.71
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$39.81
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$89.13
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$67.61
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$16.22
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$57.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$40.74
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$69.18
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$61.66
Typical High
$141.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$63.10
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$56.23
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$6.61
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$27.54
Typical High
$47.86
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$36.31
Typical High
$85.11

Where Illinois sits

The same service costs 6.5 times more in Alaska than in Louisiana. 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.

Illinois· 14th of 51

$48.98

AK $117LA $18.20

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.