Genetic counseling session, 15 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

PR GENETIC COUNSEL EA 15 MIN

Payers reporting HCPCS S0265

Payer pricing summary

Low

Average

$163

Median

$99

High

$2.2k

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	42	$90	$175	$194	111%	—	$15 – $974
2	Aetna fee schedule · outpatient · +11 other terms	22	$43	$102	$144	141%	—	$20 – $619
3	Medcost professional · percent of total billed charges · outpatientfrom % of charges	17	$212	$178	$46	26%	—	$113 – $224
4	Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges	17	$212	$167	$49	29%	—	$113 – $229
5	Anthem facility · case rate · outpatient · +9 other terms	15	$62	$68	$16	23%	—	$42 – $106
6	Caresource facility · case rate · outpatient · +1 other terms	15	$63	$68	$16	23%	—	$42 – $108
7	Molina facility · case rate · outpatient · +2 other terms	15	$62	$68	$16	23%	—	$44 – $106
8	UnitedHealthcare facility · case rate · outpatient · +10 other terms	15	$63	$69	$16	23%	—	$44 – $108
9	Oscar professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms	14	$212	$182	$57	31%	—	$20 – $224
10	Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges	14	$212	$177	$46	26%	—	$113 – $212
11	Cigna facility · fee schedule · outpatient · +9 other terms	13	$48	$113	$64	56%	—	$48 – $249
12	Wellmark fee schedule · both · +1 other terms	13	$116	$115	$9	8%	—	$109 – $128
13	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$157	$117	$69	59%	—	$45 – $197
14	Optum facility · case rate · outpatient · +5 other terms	11	$59	$64	$14	22%	—	$53 – $96
15	Highmark fee schedule · outpatient · +3 other terms	10	$14	$14	—	—	—	$14 – $14
16	Medicaid fee schedule · outpatient · +2 other terms	10	$44	$31	$20	63%	—	$1 – $44
17	Medica fee schedule · both · +4 other terms	9	$17	$17	—	—	—	$17 – $17
18	Ucare fee schedule · both · +3 other terms	9	$17	$17	$1	5%	—	$16 – $18
19	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$20	$20	—	—	—	$20 – $20
20	Humana fee schedule · outpatient · +5 other terms	6	$20	$42	$49	118%	—	$20 – $152
21	Kaiser fee schedule · outpatient · +5 other terms	5	$162	$209	$162	77%	—	$44 – $523
22	First Health professional · fee schedule · both · +4 other terms	3	$22	$22	—	—	—	$22 – $22
23	Ambetter facility · case rate · outpatient · +1 other terms	2	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k
24	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
25	Bcbs Nc facility · fee schedule · outpatient	1	$95	$95	—	—	—	$95 – $95

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