CPT 0413U Pathology/Laboratory
Optical genome mapping of DNA in blood or bone marrow for changes in copy Cost
Body System: General
Medicare Facility Rate
$1,264
CMS PFS CY2026
Medicare Non-Facility Rate
$1,264
Office/clinic setting
Frequently Asked Questions
How much does Optical genome mapping of DNA in blood or bone marrow for changes in copy cost?
The Medicare facility rate is $1,264. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optical genome mapping of DNA in blood or bone marrow for changes in copy 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 $1,264.