Empowering patients, affordably
We understand that cost is an important factor when considering genetic testing. We strive to provide price transparency as well as access to billing options and programs that help make testing more affordable for you and your family.
Our commitment to transparent pricing
When testing is ordered, we will determine your personalized cost estimate based on the insurance information provided by your clinician. Our Patient and Family Relations team reviews the submitted data, and if we estimate your out-of-pocket expense is exceeding $100, we will reach out to you to discuss all possible payment options.
Our billing options
We offer multiple ways for you to pay for testing. If you have questions about any of the options below, please contact our Patient and Family Relations team for more information.
Insurance billing is available for our Genomic Unity®, IriSight™ and OncoAlly™ tests. If you have US-based insurance, our Patient and Family Relations team will collaborate with your clinician and insurance provider to ensure that the ordered testing meets the insurance provider’s specific genetic testing criteria. When testing is covered, you may still have an out-of-pocket responsibility (i.e. deductible, coinsurance, or copay). In most cases, if testing has already been ordered, our Patient and Family Relations team will be in touch to review the estimate of your responsibility and available payment options. However, if you have questions at any time, please contact us.
Due to plan restrictions Genomic Unity® Whole Genome, Exome, ExomePlus Analysis or IriSight will not be accepted as first-line testing for Medicaid or Managed Medicaid from the following states:
- Alabama, Alaska, Arkansas, Colorado, Delaware, Georgia, Indiana, Kansas, Louisiana, Maine, Mississippi, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Carolina, Rhode Island, South Carolina, North Carolina, Texas, Vermont.
For the above Medicaid’s we accept Genomic Unity® Constitutional Genome-Wide Copy Number Variant Analysis, Pre-curated Panels and OncoAlly with discounted reflex pricing to more comprehensive testing (Genomic Unity® Whole Genome, Exome, ExomePlus Analysis), if applicable.
While many of our tests are currently not billable under Medicare, we do our best to work with Medicare Advantage and Managed Medicare plans. If you are enrolled in Medicare Part B, please contact our Patient and Family Relations team regarding our pricing details.
If you do not have US-based insurance, or your insurance plan doesn’t cover the testing ordered, we offer self-pay pricing.
Our Patient Assistance Program
We realize that you and your family face a multitude of expenses, and that fitting the cost of genetic testing into your budget may be difficult. Rooted in our goal to make whole-genome based testing accessible to all patients, regardless of their financial situation, we’ve designed our Patient Assistance Program to provide assistance when testing would otherwise be financially out of reach.
- Have commercial insurance
- Have testing services deemed medically necessary by your insurance provider
- Have a household income that falls within our guidelines outlined in the table below
You may be eligible for a reduction in the amount owed for the patient responsibility reflected on the explanation of benefits (EOB) sent in the mail by your insurance provider.
The price will be the lowest of the estimated or actual out-of-pocket amount compared to the numbers below:
|Percentage of household income relative to federal poverty guidelines*||Panel||CNV||Singleton WES/WESP/WGS||Duo WES/WESP/WGS||Trio WES/WESP/WGS||Add’l Comparator|
To find out if you are eligible, please complete the Patient Assistance Program application.
If you do not meet the Patient Assistance Program’s criteria and you need assistance paying your bill, we also offer discounts and interest-free payment plans. Please contact our Patient and Family Relations team who will work with you to find a solution.