Individual FAQs: Billing

Genetic testing should be affordable and accessible to everyone who needs it—and pricing should be transparent. We offer multiple billing options and have an exceptional Client Services team ready to work with you. 

INSURANCE (US only)

Invitae is in network for more than 300 million—and counting. We accept insurance payments from most providers, and we’ll work directly with your insurance company to coordinate coverage and payment on your behalf. Invitae bills insurance for less than most other labs, which means a lower out-of-pocket cost for you. For example, if your doctor orders a test to understand an inherited disease, uncover the cause of unexplained symptoms, or determine if you could pass a hereditary condition on to your future children, an estimated typical out-of-pocket cost is between $0 and $100. For more information, please see the "Insurance" section below.

Please note that insurance billing is generally not available for screening for healthy adults or preimplantation genetic testing for IVF, as these tests are very rarely covered by insurance.

PATIENT PAY

You have the option to skip insurance and pay for your panel test directly. For more information, please see the FAQ What does testing cost if I don’t have insurance or prefer not to use it? in the "Patient pay" section below.

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. Please see the "MEDICARE & MEDICAID (US only)" section below.

PATIENT ASSISTANCE PROGRAM

Invitae may be able to offer testing at limited or no expense to those who qualify through our Patient Assistance Program. Learn more in the "Financial assistance" section below.

Invitae is proud to be in-network for more than 300 million people in the United States.

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.) If you receive a bill for more than $100, you can call us directly to discuss payment options.

Invitae will work directly with your insurance company to coordinate payment. 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. (Learn more about our patient-pay option in the "Patient pay" section below.)

If your provider orders 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 pay, and cancelling the test.

Please note that Invitae does not accept insurance for proactive screening or preimplantation genetic testing, as these tests are very rarely covered by insurance.

Invitae does not accept non-US based insurance at this time. Please contact your healthcare provider to see if our patient-pay option is right for you. You can learn more about this option in the "Patient pay" section below.

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 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.

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.

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.

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).

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.

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.

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.

For tests not listed here, please contact us.

Tests ordered by a healthcare provider

If you decide to pay for your test through our self-pay option (rather than billing 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.</span> 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.

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 accept Medicaid (or managed Medicaid) for exome testing only 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 accept Medicaid (or managed Medicaid) for microarray for pediatric diagnosis only in the following states: