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Procedure price report

Genetic counseling session, each 30 minutes

CPT 96040the billing code this page is about

Counseling with a trained genetic counselor about inherited conditions and family risk; one unit covers 30 minutes of face-to-face time with the patient or family.

Hospitals typically charge $133 cash for this outpatient procedure — the median across 258 hospitals that filed a usable cash price; the average of the middle 60% is $138. Most fall between $52 and $291 (20th–80th percentile).

Hospitals
258
States
37
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 258 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$34$72$133$212$335

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($34 vs $335).

How the prices are spread

$17 – $24: 6 hospitals$17$24 – $33: 6 hospitals$33 – $45: 20 hospitals$33$45 – $63: 16 hospitals$63 – $88: 35 hospitals$63$88 – $122: 28 hospitals$122 – $169: 56 hospitals$122$169 – $235: 18 hospitals$235 – $326: 26 hospitals$235$326 – $452: 26 hospitals$326median $133price bands are equal on a log scale
Hospitals per price band (237 of 258 — the bands cover the 5th to 95th percentile)
FromToHospitals
$17$246
$24$336
$33$4520
$45$6316
$63$8835
$88$12228
$122$16956
$169$23518
$235$32626
$326$45226

By state

The median cash price in each state, against the national median of $133.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $117 across 11 hospitalsMN$117Illinois: median $141 across 15 hospitalsIL$141Wisconsin: median $151 across 21 hospitalsWI$151Michigan: median $151 across 24 hospitalsMI$151New York: median $270 across 10 hospitalsNY$270Massachusetts: median $184 across 12 hospitalsMA$184Oregon: median $85 across 11 hospitalsOR$85Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: no hospital in the corpus filed a usable priceIAIndiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: 4 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $138 across 19 hospitalsPA$138New Jersey: median $77 across 12 hospitalsNJ$77Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $353 across 21 hospitalsCA$353Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $12 across 11 hospitalsCO$12Nebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $74 across 10 hospitalsOK$74Louisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $335 across 15 hospitalsGA$335Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $100 across 15 hospitalsTX$100Florida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $133. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA21$353+166%$142 – $494
Georgia GA15$335+152%$291 – $335
New York NY10$270+104%$112 – $306
Massachusetts MA12$184+39%$147 – $282
Michigan MI24$151+14%$139 – $335
Wisconsin WI21$151+14%$151 – $179
Illinois IL15$141+6%$34 – $194
Pennsylvania PA19$138+4%$32 – $152
Minnesota MN11$117−12%$117 – $148
Texas TX15$100−25%$100 – $100
Oregon OR11$85−36%$48 – $85
New Jersey NJ12$77−42%$17 – $99
Oklahoma OK10$74−45%$74 – $74
Colorado CO11$12−91%$12 – $65
Tennessee TN8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $133.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care216$127$54 – $291
Children’s7fewer than 20 hospitals
Critical access35$147$48 – $179
Ownership
For-profit24$100$34 – $335
Government19fewer than 20 hospitals
Non-profit215$139$65 – $272
System affiliation
Part of a system229$133$51 – $291
Independent29$128$54 – $258

Cash price vs list price

Median list price (chargemaster)$170
Median cash price$133
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

219 hospitals filed a usable inpatient cash price for this code. The median is $138 and the average of the middle 60% is $140; most fall between $64 and $291.

Cash price percentiles, inpatient, across 219 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$34$74$138$270$335

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($34 vs $335).

Of the 227 hospitals that filed this code inpatient, 219 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

258 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 281 hospitals that filed this code at all gave us
Usable cash price — counted258
Cash price carrying a plausibility flag — shown on the compare tool, excluded here8
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded15
Hospitals that filed this code281

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as All Outpatient.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Genetic counseling session, each 30 minutes (CPT 96040) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96040-genetic-counseling-session-each-30-minutes