Interpretation and report of genetic testing
Medicare pricing data for 502 providers across 37 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Interpretation and report of genetic testing (HCPCS code 88291) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.41, but hospitals typically charge $115.28 — a 3.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.41, your out-of-pocket cost would be approximately $6.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $26.35 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $36 | $117 | 3 | 40 | +7.4% |
| New York | $36 | $201 | 38 | 4,484 | +6.9% |
| Washington | $35 | $58 | 2 | 941 | +5.9% |
| California | $35 | $64 | 45 | 16,919 | +4.9% |
| Massachusetts | $35 | $125 | 13 | 1,784 | +4.3% |
| Delaware | $34 | $85 | 2 | 14 | +2.8% |
| New Jersey | $34 | $187 | 15 | 5,043 | +2.4% |
| Connecticut | $34 | $120 | 10 | 1,089 | +2.1% |
| Oregon | $34 | $145 | 2 | 449 | +1.1% |
| Illinois | $33 | $92 | 14 | 928 | -0.4% |
| Pennsylvania | $33 | $157 | 12 | 1,005 | -0.5% |
| Nebraska | $33 | $229 | 4 | 1,434 | -2.2% |
| Colorado | $33 | $88 | 1 | 578 | -2.2% |
| Florida | $32 | $74 | 57 | 7,946 | -3.0% |
| Texas | $32 | $160 | 57 | 4,053 | -3.5% |
| Michigan | $32 | $127 | 5 | 212 | -4.0% |
| North Dakota | $32 | $161 | 3 | 56 | -4.2% |
| Minnesota | $32 | $214 | 41 | 2,995 | -4.3% |
| Virginia | $32 | $93 | 15 | 934 | -4.5% |
| Maine | $32 | $165 | 5 | 40 | -4.5% |
| Vermont | $32 | $166 | 2 | 186 | -5.1% |
| Missouri | $32 | $133 | 9 | 469 | -5.4% |
| Utah | $31 | $83 | 8 | 116 | -5.8% |
| Arizona | $31 | $81 | 6 | 651 | -6.1% |
| Wisconsin | $31 | $168 | 16 | 153 | -6.6% |
| Georgia | $31 | $136 | 11 | 399 | -7.1% |
| Ohio | $31 | $70 | 10 | 325 | -7.2% |
| New Mexico | $31 | $133 | 9 | 122 | -7.6% |
| South Carolina | $31 | $181 | 4 | 352 | -8.0% |
| North Carolina | $31 | $92 | 15 | 2,170 | -8.1% |
| West Virginia | $31 | $85 | 4 | 317 | -8.2% |
| Kentucky | $30 | $54 | 5 | 113 | -9.1% |
| Iowa | $30 | $252 | 4 | 446 | -9.3% |
| Tennessee | $30 | $63 | 20 | 2,392 | -9.6% |
| Louisiana | $30 | $72 | 8 | 95 | -9.7% |
| Alabama | $30 | $32 | 2 | 161 | -11.5% |
| Arkansas | $30 | $82 | 3 | 1,076 | -11.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber