Molecular pathology test, level 6 (genetic DNA analysis)

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

HC MOPATH PROC LEVEL 6 (RSCGP)

Payers reporting CPT 81405

Payer pricing summary

Low

$180

Average

$601

Median

$521

High

$1.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	462	$412	$829	$1.0k	122%	38–380	$1 – $12.2k
2	UnitedHealthcare fee schedule · outpatient · +34 other terms	746	$301	$328	$184	56%	26	$1 – $3k
3	Caresource fee schedule · outpatient · +14 other terms	83	$304	$305	$36	12%	26–260	$1 – $868
4	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$692	$692	—	—	1–10	$692 – $692
5	Aetna fee schedule · outpatient · +28 other terms	706	$323	$435	$438	101%	—	$0 – $8.4k
6	Humana fee schedule · outpatient · +25 other terms	489	$303	$497	$707	142%	—	$1 – $7.0k
7	Cigna fee schedule · outpatient · +23 other terms	481	$561	$397	$290	73%	—	$4 – $6.4k
8	WellCare fee schedule · outpatient · +16 other terms	307	$310	$295	$60	20%	—	$40 – $600
9	Molina fee schedule · outpatient · +29 other terms	261	$328	$380	$180	47%	—	$1 – $904
10	Anthem fee schedule · outpatient · +22 other terms	207	$331	$398	$379	95%	—	$20 – $2.3k
11	Devoted fee schedule · outpatient · +12 other terms	192	$301	$305	$9	3%	—	$295 – $349
12	Oscar fee schedule · outpatient · +17 other terms	165	$583	$642	$215	33%	—	$295 – $922
13	Cigna Healthspring fee schedule · outpatient · +8 other terms	131	$313	$307	$25	8%	—	$266 – $514
14	Kaiser fee schedule · outpatient · +18 other terms	112	$307	$289	$182	63%	—	$4 – $1.1k
15	Ambetter fee schedule · outpatient · +16 other terms	111	$497	$445	$152	34%	—	$132 – $901
16	Aetna Better Health fee schedule · outpatient · +19 other terms	72	$273	$287	$18	6%	—	$158 – $319
17	Optum fee schedule · outpatient · +17 other terms	65	$301	$430	$434	101%	—	$3 – $5.4k
18	MultiPlan fee schedule · outpatient · +16 other terms	63	$451	$796	$985	124%	—	$6 – $9.2k
19	First Health fee schedule · outpatient · +15 other terms	56	$385	$805	$856	106%	—	$5 – $8.1k
20	Highmark facility · fee schedule · outpatient · +15 other terms	55	$520	$1.8k	$1.3k	69%	—	$252 – $4.5k
21	Superior Healthplan fee schedule · outpatient · +5 other terms	55	$316	$361	$75	21%	—	$181 – $514
22	Medicare fee schedule · both · +10 other terms	53	$301	$301	—	—	—	$301 – $301
23	Clover fee schedule · outpatient · +8 other terms	47	$310	$309	$6	2%	—	$301 – $316
24	Medicaid facility · fee schedule · outpatient · +10 other terms	42	$301	$314	$98	31%	—	$162 – $481
25	Tricare fee schedule · outpatient · +14 other terms	41	$301	$722	$924	128%	—	$180 – $3.3k

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