CPT 0212U Pathology/Laboratory
Rare diseases genetic testing of complete DNA of first affected person in family Cost
Body System: General
Medicare Facility Rate
$5,475
CMS PFS CY2026
Medicare Non-Facility Rate
$5,475
Office/clinic setting
Frequently Asked Questions
How much does Rare diseases genetic testing of complete DNA of first affected person in family cost?
The Medicare facility rate is $5,475. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rare diseases genetic testing of complete DNA of first affected person in family cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $5,475.