CPT 0480U Pathology/Laboratory

DNA and RNA next generation sequencing for identifying pathogens in bacteria, Cost

Body System: General

Medicare Facility Rate
$2,126
CMS PFS CY2026
Medicare Non-Facility Rate
$2,126
Office/clinic setting

Frequently Asked Questions

How much does DNA and RNA next generation sequencing for identifying pathogens in bacteria, cost?

The Medicare facility rate is $2,126. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does DNA and RNA next generation sequencing for identifying pathogens in bacteria, 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 $2,126.

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