CPT 0516U
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Rx metab rxgenomic gnotyp 40
Low
$23
Average
$407
Median
$420
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 4.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna case rate · outpatient · +1 other terms | 38 | $425 | $395 | $99 | 25% | — | $52 – $431 |
| 2 | Molina facility · case rate · outpatient · +2 other terms | 38 | $80 | $229 | $252 | 110% | — | $23 – $854 |
| 3 | UnitedHealthcare case rate · outpatient · +1 other terms | 38 | $429 | $402 | $105 | 26% | — | $41 – $471 |
| 4 | Humana case rate · outpatient · +1 other terms | 26 | $433 | $429 | $10 | 2% | — | $417 – $438 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 20 | $84 | $250 | $280 | 112% | — | $52 – $834 |
| 6 | Anthem facility · case rate · outpatient · +1 other terms | 19 | $81 | $167 | $145 | 87% | — | $52 – $417 |
| 7 | Optum facility · case rate · outpatient | 14 | $70 | $117 | $122 | 104% | — | $22 – $425 |
| 8 | WellCare case rate · outpatient · +1 other terms | 14 | $421 | $432 | $16 | 4% | — | $417 – $458 |
| 9 | Ambetter case rate · outpatient · +1 other terms | 12 | $604 | $622 | $27 | 4% | — | $604 – $667 |
| 10 | Wellmark case rate · outpatient | 12 | $425 | $424 | $2 | 1% | — | $417 – $425 |
← Hospitals reporting CPT 0516U · Snapshot 20261113T090226Z-3ce6c0b8