CPT 0538U Pathology/Laboratory
DNA next generation sequencing of 600 genes, reported as actionable variant in Cost
Body System: General
Medicare Facility Rate
$2,990
CMS PFS CY2026
Medicare Non-Facility Rate
$2,990
Office/clinic setting
Frequently Asked Questions
How much does DNA next generation sequencing of 600 genes, reported as actionable variant in cost?
The Medicare facility rate is $2,990. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does DNA next generation sequencing of 600 genes, reported as actionable variant in 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 $2,990.