CPT 0265U Pathology/Laboratory
Whole genome and mDNA sequence analysis for detection of abnormalities Cost
Body System: General
Medicare Facility Rate
$5,476
CMS PFS CY2026
Medicare Non-Facility Rate
$5,476
Office/clinic setting
Frequently Asked Questions
How much does Whole genome and mDNA sequence analysis for detection of abnormalities cost?
The Medicare facility rate is $5,476. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Whole genome and mDNA sequence analysis for detection of abnormalities 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 $5,476.