Individual FAQs: Billing

Genetic testing should be affordable and accessible to everyone who needs it. At Invitae, we believe in ethical and transparent billing. We offer multiple billing options and have an exceptional Client Services team ready to work with you. 

INSURANCE (US only)
After billing insurance, most patients pay $100 or less out of pocket. (Please note that this is an average: your payment could be higher or lower, depending on your plan.)Contact your insurance company directly to get a personalized estimate of your out-of-pocket responsibility.  You can also use our cost estimatorfor Invitae tests related to a personal or family history of breast, ovarian, colorectal, or uterine cancer.

Invitae will work directly with your insurance company to coordinate payment. Regardless of whether our laboratory is in-network or out-of-network with your insurance provider, Invitae is committed to making genetic testing affordable.

For insurance companies that require prior authorization, we will reach out in the event of a denial and you will have the opportunity to switch to patient pay, even if your test is already processing.

For proactive testing: Please note that Invitae does not accept insurance billing for proactive testing as this test is rarely covered by insurance.

For preimplantation genetic testing: Please note that Invitae does not accept insurance billing for preimplantation genetic testing as this test is rarely covered by insurance.

For exome testing: We will conduct a benefits investigation and contact you if your out-of-pocket responsibility is greater than $100 or if the authorization request is denied. We will inform you of your options, including payment plans, patient pre-pay, and cancelling the test.

PATIENT PAY

You have the option to skip insurance and pay for your panel test directly. Please see the FAQ What does testing cost if I don’t have insurance or prefer not to use it? Please note that this option requires upfront payment before results are released. In addition, your order must be placed online and you must provide your email address so we can send you a link to pay online using a credit card.

MEDICARE & MEDICAID (US only)

Medicare (and managed Medicare) and Medicaid (and managed Medicaid) beneficiaries may be eligible for Invitae testing when specific criteria are met.

Exceptions:

• We do not accept Medicare (or managed Medicare) for exome testing.
• We do not accept Medicaid (or managed Medicaid) for exome testing except in the following states:

   

• We do not accept Medicare (or managed Medicare) for microarray, karyotype analysis, FISH, maternal cell contamination studies, and amniotic fluid AFP/AChE at this time.
• We do not accept Medicaid (or managed Medicaid) for microarray for pediatric diagnosis except in the following states:

PATIENT ASSISTANCE PROGRAM

Invitae may be able to offer testing at limited or no expense to those who qualify through our Patient Assistance Program.

Please contact Client Services for further information.

Invitae is proud to be in-network for more than 300 million people in the United States. Regardless of whether you are in-network or out-of-network, Invitae is committed to making genetic testing affordable. Typically people pay no more than $100 out-of-pocket for one of our tests when billing insurance. If you receive a bill for more than $100, you can call us directly to discuss payment options. Refer to this FAQ to learn more about all the payment options available.

Please note that Invitae does not offer insurance billing for proactive testing as this test is rarely covered by insurance. Insurance options for carrier screening are available.

Invitae does not accept non-US based insurance at this time.  Please contact your healthcare provider to see if our patient-pay optionis right for you.

You may receive an explanation of benefits (EOB) from your insurance company in the mail. This is not a bill. In most cases, Invitae will also receive this letter and will handle any appeals process. If your insurance company does not send the EOB to Invitae, we may request a copy of it from you. If there is an outstanding balance at the end of this process, you will receive a bill from Invitae along with instructions on how to pay.

Tests ordered by a healthcare provider

If you decide to pay for your test through our self-pay option (rather than billing to your insurance company), once Invitae receives your DNA sample, we will send you an email with instructions on how to pay for your test online via credit card. You can also make a payment here. If you would prefer to pay over the phone or via wire transfer, please contact Client Services.

Tests initiated online

If you initiate a proactive genetic test or carrier screen online, you will be prompted to pay for your test during the check-out process. Payment can be made via credit card in Invitae’s secure ordering portal.

Invitae is dedicated to making genetic testing affordable and accessible. If you don’t have insurance or prefer not to use it, we offer special patient-pay pricing.

Testing for specific conditions

Diagnostic panel testing

: Our patient-pay pricing is $250 per Invitae-curated panel or, if your healthcare provider chooses to build their own test, $250 per clinical area. The vast majority of testing falls into a single clinical area. Examples of clinical areas are hereditary cancer and hereditary heart disease. In the very rare situation where a healthcare provider orders testing from more than one clinical area (for example, if they need to simultaneously diagnose a condition related to cancer and a separate condition related to cardiology in the same patient), the patient-pay price would be $250 per clinical area. In this situation, Invitae would also require two DNA samples and your testing would result in two separate reports generated by two different teams of clinical experts.

Exome testing

: Invitae offers exome testing at $1,250 if your doctor wants to test your DNA, or $2,500 if your doctor wants to test your DNA and the DNA of one or both of your parents.

Screening for healthy adults

Carrier screening

: Our patient-pay pricing is $250 for the first partner tested—whether you are tested with the Invitae Core Carrier Screen, the Invitae Broad Carrier Screen, or the Invitae Comprehensive Carrier screen. If your reproductive partner also gets tested through Invitae, their patient-pay price is discounted to $100.

Proactive genetic testing:

Invitae offers proactive genetic testing at $250 for the Invitae Cancer Screen or the Invitae Cardio Screen, and $350 for the more comprehensive Invitae Genetic Health Screen (which assesses your risk for cancer and cardiovascular disease, and more). Please note that patient assistance programs are not available for these proactive tests.

Carrier screening + proactive genetic testing: 

If you order both carrier screening ($250) and a proactive genetic test, the price for the proactive test is as follows: Invitae Cancer Screen ($99) Invitae Cardio Screen ($99), Invitae Genetic Health Screen ($149).

Planning for a family

Carrier screening:

Our patient-pay pricing is $250 for the first partner tested—whether you are tested with the Invitae Core Carrier Screen, the Invitae Broad Carrier Screen, or the Invitae Comprehensive Carrier screen. If your reproductive partner also gets tested through Invitae, their patient-pay price is discounted to $100.

Non-invasive prenatal screening (NIPS)

: Our patient-pay pricing for non-invasive prenatal screening is $99.

Prenatal diagnostic testing

: Our patient-pay pricing for prenatal diagnostic testing is $450.

Pediatric diagnostic testing

: Our patient-pay pricing for pediatric diagnostic testing is $450.

Pregnancy loss analysis

: Our patient-pay pricing for pregnancy loss analysis is $450.

For tests not listed here, please contact us.

The fine print: To take advantage of this pricing, you must submit payment upfront and in full before results are released. In addition, your order must be placed online and you must provide your email address so that we can send you a link to pay online via credit card (or, if preferred, HSA or FSA card). This option does not allow Invitae to submit claims to your insurance company. It also does not allow Invitae to apply financial assistance programs.