Transparent pricing, ethical billing

Invitae’s mission is to make high-quality genetic testing affordable and accessible to everyone. We believe in ethical and transparent billing. To assist you through this process, we offer multiple billing options and have an exceptional Client Services team ready to work with you.

Panels & genes

View

Exome

View

Comprehensive panel & single gene testing

Within a single clinical area, you can select a curated panel, combine multiple panels, or customize your own test for each patient—all for the same price. If you don’t get the answers you need from the initial test, you can add additional genes within the same clinical area within 90 days for no additional charge.

In addition, Invitae testing includes Clinical Consult Services to help identify the right test and clarify results (at no additional charge), targeted follow-up for family members at no additional charge within 90 days, and VUS resolution to clarify results.

Patient pay

Genetic testing should be affordable and accessible to anyone who needs it. For panel and single-gene testing, Invitae offers a patient-pay price of $475 per clinical area to make testing affordable for more patients, including those who do not meet coverage policies for testing, those with high-deductible plans, and those not covered by insurance.

  • Payment must be made by credit card before a report can be released.
  • The patient agrees to register online and set their contact preferences.
  • The patient-pay option does not allow Invitae to submit claims to insurance providers or apply patient assistance programs—this is how we’re able to keep the patient-pay price so low.

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 so we can follow up with your patient directly to have them sign up for an Invitae 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.

It is also important to note that Invitae requires patients to go through their healthcare provider to order a test. Healthcare professionals are fundamental to ordering the right test for the right patient and in interpreting genetic information. Invitae believes that patients should own and control their own genetic information, thus we do not require our patients to sign their data away; we allow them to opt out and still receive the test. While genetic information is more valuable when shared, patients own their data and should decide what they want to do with it.

Insurance & institutional billing

Invitae can bill insurance carriers or institutions directly for panel and single-gene testing. (Note that this option does not apply to the $475 patient-pay price.) Simply select the "Insurance billing" or “Institutional billing” option during the billing portion of the online requisition process.

The most we will ever bill an insurance company or institution is $1500 per clinical area for a panel or single-gene test. (For exome prices, please see the Exome Testing section below). In many cases the amount will be lower due to contracts between Invitae and the insurance company or institution. Our mission is to bring genetic information into mainstream medical practice—and our success depends on this type of responsible billing practice.

Institutional billing
For institutional billing, 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.

Insurance billing
For insurance billing, 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.

Invitae is proud to be in-network for more than 192 million patients in the United States—and growing. But no matter a patient’s in-network or out-of-network status, Invitae is committed to making genetic testing affordable for everyone. Typically patients pay no more than $100 out of pocket for one of our tests. If your patient receives a bill for more than $100, please have your patient call us to discuss payment options. We offer programs to help those few patients with higher out of pocket costs, including interest-free payment plans and financial assistance. 

Please be prepared to provide the following information if you wish to bill insurance for an order:

  • The patient's first and last name, phone number, and mailing address
  • A copy (front and back) of the patient's insurance card
  • Relevant ICD10 codes
  • A letter of medical necessity
  • Any applicable precertification forms, available on the Forms page

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.

ICD-10 codes: Invitae defers to the ordering healthcare provider to select the appropriate diagnosis codes for each order. To identify the appropriate ICD-10 code(s), we recommend reading through the resources posted on the Centers for Medicare & Medicaid Services (CMS) website. In addition, many helpful third-party tools exist to translate ICD-9 codes to ICD-10 codes—these can be a good starting point to learn the new codes, although providers should use their best medical judgement as there often are not one-to-one mappings. If you need help, please contact client services.

Invitae's NCBI number: 1316206220

Medicare

Medicare can be used to pay for single gene and panel testing when specific criteria are met. Invitae's criteria align with clinical practice guidelines from organizations including the National Comprehensive Cancer Network® (NCCN).

The following forms must be included with your Medicare order:

  • The appropriate Invitae Medicare ordering form, available for oncology here, Lynch syndrome here, cardiology here, and all other areas here.
  • A letter of medical necessity, available here
  • Any applicable medical records

We also strongly encourage the inclusion of:

  • A detailed family history or pedigree
  • A signed informed consent form, available here (please ensure the informed consent form is dated on or before the date of blood draw)

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.

Patient Assistance Program

Invitae is committed to making genetic testing affordable and accessible by removing financial and logistical barriers. Our Patient Assistance Program (PAP) is available to patients in the US who undergo testing with Invitae, meet the relevant clinical criteria for the ordered test, and meet income criteria. Our PAP provides:

Uninsured patients: For patients who meet this income standard and are uninsured, Invitae will waive fees for the patient's test under the program.

Patients with Medicaid: For patients who have a valid Medicaid card, Invitae will bill Medicaid directly for the test. In the event Medicaid denies reimbursement, Invitae will waive the fee for the test under the program.

Patients with commercial insurance: For patients who qualify for the program and are insured with commercial insurance (not Medicare, Medicaid, or similar government insurance programs), Invitae will discount tests on a sliding scale according to income.

Documentation: We ask for proof of income documentation in the form of an IRS Form 1040. If a 1040 is not available, please contact Client Services to discuss other options. Applications are available on the Forms page.

Exome testing

When ordering the Invitae Boosted Exome, the most informative results are generally derived from a trio, which includes testing of the patient, biological mother and biological father. Duos (patient and one biological parent) are accepted, if the biological parent included in the analysis is affected with similar clinical symptoms. Proband-only specimens are also accepted.

In addition, Invitae testing includes Clinical Consult Services to help identify the right test and clarify results (at no additional charge), as well as follow-up testing of the gene in question for relevant family members (at reduced price).

Insurance billing

Insurance billing is available for exome testing. We will conduct a Benefits Investigation (BI) on every order and contact the patient if their out-of-pocket responsibility is greater than $100 or if the authorization request is denied. We will inform the patient of their options including payment plans, our patient assistance program, patient pre-pay, and canceling the test. If the patient opts to cancel the test, we will contact the clinician.​

We will manage the prior authorization process.

We do not accept Medicare for exome at this time.

Patient Assistance Program

Invitae also offers financial assistance programs based on poverty guidelines, assessed on an individual basis. Please contact the Billing Department for more information.

Patient pay

Genetic testing should be affordable and accessible to anyone who needs it. For exome testing, Invitae offers a patient-pay price:

  • Invitae Boosted Exome Trio or Duo: $4,500
  • Invitae Boosted Exome Proband-Only: $2,500

In addition, Invitae offers a payment plan to help make exome testing more affordable. Under the plan, patients can pay 50% of the exome price up front, and then make interest-free payments on the balance over 12 months. Please contact Client Services for more information or to be enrolled in the payment plan.

Patient-pay orders must be placed online, including the requisition from the clinician.

  • Payment must be made by credit card before a report can be released.
  • The patient agrees to register online and set their contact preferences.
  • The patient-pay option does not allow Invitae to submit claims to insurance providers or apply patient assistance programs—this is how we’re able to keep the patient-pay price so low.

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, so that we can follow up with your patient directly to have them sign up for an Invitae 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.

It is also important to note that Invitae requires patients to go through their healthcare provider to order a test. Healthcare professionals are fundamental to ordering the right test for the right patient and in interpreting genetic information. 

Institutional billing

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 will never charge an institution more than the posted exome price of $4,500 (trio/duo) or $2,500 (proband only). Our mission is to bring genetic information into mainstream medical practice—and our success depends on this type of responsible billing practice.

More information

More questions about our billing options? Visit our help center.