Genome-wide chromosome copy number microarray test

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ANALY CYTOGEN MICROARRAY COPY

Payers reporting CPT 81228

Payer pricing summary

Low

$458

Average

$1.6k

Median

$1.3k

High

$5.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	651	$903	$958	$576	60%	—	$73 – $10.8k
2	Aetna fee schedule · outpatient · +20 other terms	614	$942	$1.9k	$1.8k	98%	—	$0 – $19.4k
3	Humana fee schedule · outpatient · +20 other terms	435	$900	$2.2k	$2.6k	114%	—	$271 – $9.7k
4	Cigna fee schedule · outpatient · +17 other terms	424	$1.6k	$1.9k	$1.3k	71%	—	$5 – $9.1k
5	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	397	$1.1k	$1.7k	$1.3k	77%	—	$0 – $19.6k
6	WellCare fee schedule · outpatient · +12 other terms	258	$927	$943	$174	18%	—	$249 – $1.8k
7	Molina fee schedule · outpatient · +17 other terms	218	$1.3k	$1.2k	$578	47%	—	$1 – $2.7k
8	Devoted fee schedule · outpatient · +10 other terms	189	$900	$910	$27	3%	—	$882 – $1.0k
9	Oscar fee schedule · outpatient · +12 other terms	165	$1.7k	$1.9k	$642	33%	—	$882 – $2.8k
10	Anthem fee schedule · outpatient · +16 other terms	161	$990	$1.4k	$1.6k	114%	—	$20 – $6.8k
11	Cigna Healthspring fee schedule · outpatient · +5 other terms	127	$936	$918	$26	3%	—	$900 – $972
12	Kaiser fee schedule · outpatient · +15 other terms	92	$918	$1.1k	$578	53%	—	$5 – $3.4k
13	Ambetter fee schedule · outpatient · +10 other terms	81	$1.6k	$1.4k	$378	27%	—	$585 – $2.4k
14	Caresource fee schedule · outpatient · +12 other terms	50	$918	$975	$204	21%	—	$258 – $1.8k
15	Optum fee schedule · outpatient · +13 other terms	49	$900	$1.1k	$468	42%	—	$566 – $2.6k
16	Clover fee schedule · outpatient · +6 other terms	46	$926	$923	$18	2%	—	$900 – $945
17	Superior Healthplan fee schedule · outpatient · +3 other terms	42	$945	$947	$35	4%	—	$900 – $1.4k
18	First Health fee schedule · outpatient · +11 other terms	31	$1.3k	$1.7k	$642	39%	—	$900 – $2.5k
19	Healthcare Highways fee schedule · outpatient · +4 other terms	26	$2.2k	$2.1k	$47	2%	—	$2.0k – $2.2k
20	Regence facility · fee schedule · outpatient · +7 other terms	26	$954	$1.2k	$584	49%	—	$765 – $2.7k
21	Bcbs Tx fee schedule · outpatient · +3 other terms	25	$3.5k	$3.5k	$1.3k	37%	—	$900 – $6.3k
22	Medica facility · fee schedule · outpatient · +12 other terms	25	$900	$910	$255	28%	—	$306 – $2.3k
23	Medicare fee schedule · outpatient · +9 other terms	24	$882	$884	$5	1%	—	$882 – $900
24	Aetna Better Health fee schedule · outpatient · +14 other terms	23	$797	$703	$284	40%	—	$233 – $945
25	Amerihealth Caritas fee schedule · outpatient · +9 other terms	22	$1.1k	$1.1k	$304	29%	—	$135 – $1.4k

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