Genetic counseling session (30 minutes)

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 GENETIC COUNSELING, EACH 30 MINUTES

Payers reporting CPT 96040

Payer pricing summary

Low

$25

Average

$258

Median

$118

High

$4.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Ucare other · inpatient · +4 other terms	4	$104	$102	$63	62%	64–127	$63 – $248
2	Medicare other · inpatient · +6 other terms	2	$146	$146	$16	11%	4–40	$130 – $163
3	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	81	$111	$159	$109	69%	—	$0 – $709
4	Humana fee schedule · outpatient · +18 other terms	78	$173	$390	$1.0k	261%	—	$45 – $8.3k
5	UnitedHealthcare fee schedule · both · +21 other terms	68	$73	$78	$40	51%	—	$31 – $278
6	Aetna fee schedule · both · +19 other terms	28	$85	$87	$34	39%	—	$36 – $211
7	Anthem fee schedule · both · +12 other terms	28	$32	$48	$59	123%	—	$32 – $491
8	Cigna fee schedule · both · +17 other terms	22	$119	$119	$50	42%	—	$29 – $257
9	Caresource facility · case rate · outpatient · +2 other terms	15	$63	$68	$16	23%	—	$42 – $108
10	Molina facility · case rate · outpatient · +9 other terms	15	$62	$68	$16	23%	—	$44 – $106
11	WellCare fee schedule · both · +3 other terms	15	$31	$36	$9	25%	—	$31 – $54
12	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$25	$25	$8	32%	—	$13 – $47
13	Wellmark fee schedule · both · +3 other terms	13	$103	$103	$8	8%	—	$97 – $114
14	Amerihealth Caritas fee schedule · both · +2 other terms	12	$31	$31	—	—	—	$31 – $31
15	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$81	$101	$38	37%	—	$69 – $188
16	Medcost fee schedule · both · +2 other terms	12	$111	$111	—	—	—	$111 – $111
17	Bcbs Mn fee schedule · outpatient · +7 other terms	11	$206	$174	$79	45%	—	$90 – $258
18	Bcbs Nc fee schedule · both · +1 other terms	11	$96	$99	$12	12%	—	$85 – $112
19	Optum facility · case rate · outpatient · +9 other terms	11	$59	$64	$14	22%	—	$53 – $96
20	Medica fee schedule · outpatient · +8 other terms	10	$186	$183	$53	29%	—	$74 – $240
21	Aetna Better Health fee schedule · inpatient · +5 other terms	9	$47	$68	$40	59%	—	$47 – $142
22	Devoted facility · fee schedule · outpatient · +2 other terms	7	$35	$38	$8	21%	—	$35 – $58
23	Bcbs La fee schedule · outpatient	6	$104	$107	$22	21%	—	$60 – $136
24	Tricare fee schedule · both · +5 other terms	6	$49	$57	$7	12%	—	$49 – $63
25	Ambetter fee schedule · both · +6 other terms	5	$79	$78	$5	6%	—	$52 – $83

Page 1 of 2 · 46 payers