Invitae believes in responsible testing that is based on established medical guidelines, and we aim to be completely transparent with our pricing so that patients, clinicians, and payers know the cost of the test.
If preferred, patients in the US and Canada have the option to pay $475 per clinical area, upfront and in full.
To take advantage of the $475 price, simply place the order online, selecting the “Patient Pay” option during the billing portion of the online requisition process. You will be asked to enter your patient’s email address. We will follow up with your patient directly to have them sign up for an account and pay online by credit card. Visa, MasterCard, Discover, and JCB cards are all accepted. These steps must be followed before the report will be released.
To choose institutional billing, select the "Institutional Billing" option during the billing portion of the online requisition process. We will work with your institution to set up a contract if one is not already in place, and we encourage referring institutions (i.e., clinics, hospitals, labs, and private practices) to set up contracts with us in advance.
Invitae can bill insurance carriers directly. (This option does not apply to the $475 patient-pay price.) Simply select the "Insurance Billing" option during the billing portion of the online requisition process. Patients won’t need to contact their insurance company to find out if testing is covered or to obtain reimbursement; Invitae will contact the insurance company directly to coordinate coverage and payment. Patients may receive an explanation of benefits (EOB) from their insurance company in the mail: This is not a bill. Invitae will also receive this EOB and will handle any appeals processes.
Please be prepared to provide the following information if you wish to bill insurance for an order:
Regardless of whether a patient is in-network or out-of-network, Invitae's goal is that a patient will never be surprised by an out-of-pocket balance. To help provide patients with accurate information regarding out-of-pocket insurance requirements, Invitae may conduct a benefits investigation. Where Invitae's benefits investigation discloses a plan that requires a patient out-of-pocket in excess of $100, Invitae will notify the patient. The patient may then opt to cancel the test and avoid all charges.
Medicare can be used to pay for an Invitae test when specific criteria are met. The Invitae Medicare criteria align with clinical practice guidelines from organizations including the National Comprehensive Cancer Network (NCCN).
Please include with your Medicare order:
*The consent form must be dated on or before the date of draw or else a new sample will be required
If your patient has Medicare as well as commercial insurance, the Medicare forms are still required. Invitae will pursue claims with either the commercial insurance carrier or Medicare as needed.