CPT 0216U Pathology/Laboratory
DNA analysis of gene sequence of 12 genes for identification and Cost
Body System: General
Medicare Facility Rate
$1,537
CMS PFS CY2026
Medicare Non-Facility Rate
$1,537
Office/clinic setting
Frequently Asked Questions
How much does DNA analysis of gene sequence of 12 genes for identification and cost?
The Medicare facility rate is $1,537. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does DNA analysis of gene sequence of 12 genes for identification and 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 $1,537.