Patient Billing

Accessible. Affordable. Actionable.

No qualified patient should go without necessary testing due to cost.

4 OUT OF 5 PATIENTS PAY

4 OUT OF 5 PATIENTS PAY

$0

AVERAGE COST FOR PATIENTS WHO DO PAY

AVERAGE COST FOR PATIENTS WHO DO PAY

(individual patient responsibility amounts may vary)

LESS THAN

$100

Excellent Coverage, Personalized Support

At Ambry, we believe that each person should be treated as an individual when it comes to genetic testing. This remains true as it pertains to the cost associated with testing. Our goal is to provide you with our high quality genetic testing without cost being a barrier or burden.

Ambry’s Patient Assistance Program philosophy aims to make genetic testing affordable for all patients by addressing the amount each patient will be required to pay as determined by the testing ordered and their insurance coverage. Patients can elect to be considered by providing the requested financial information at the bottom of the Test Requisition Form (TRF). Our team of trained billing specialists will do the rest.

Estimate your payment

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Certain tests are excluded from the Patient Assistance Program (e.g. exomes and SNP arrays). The calculator cannot be used to estimate your costs for these tests.

For patients with a personal history of cancer, or other hereditary illness, genetic testing is typically identified as covered.

For patients unsure of genetic testing benefits, Ambry will assist in verifying coverage and benefits for your insurance upon receipt of a sample.

If you have any questions about any of our services, please contact us at: +1 949-900-5795.

The information on this site is only an estimate. Your actual costs depend on whether you have insurance, the type of insurance, and whether you meet the insurance-specific coverage criteria for genetic testing. Patients with health insurance through a Government Program (e.g. Medicare Advantage, Medicaid, Tricare, Veterans Affairs) are excluded from the Patient Assistance Program. Ambry reserves the right to modify or cancel its Patient Assistance Program at any time.

Insurance:

Many insurance plans cover genetic testing and Ambry is contracted with the majority of U.S. health plans Your Out-of-Pocket cost may vary based on your individual plan. We offer personalized verification of insurance coverage and will consider your personal financial situation upon request.

Insurance Lists by Region

Ambry Genetics is contracted with numerous health plans and institutions. Although specific plans and geographic coverage may vary, Ambry is committed to making the genetic testing process as simple and cost-effective as possible.

Below are links to lists of our contracted health plans by region:

US map showing colored regions

Patient Portal

Ambry now offers an easy way to pay your bills online through our Patient Payment Portal.

Login here

Self-Pay:

We offer competitive cash pricing when insurance is not an option.

A team of dedicated specialists is available to answer any questions you may have. Call or email our Billing Support team at +1 949-900-5795 or billing@ambrygen.com with any questions.

At Ambry, we understand that there is no "one-size-fits-all" in healthcare; that’s why we will consider your personal financial situation to help make our high-quality genetic testing affordable to you.

Frequently Asked Questions:

Will my test be covered?

Coverage will depend upon various factors, such as your health plan’s testing criteria and benefit design, and the medical necessity of the test being ordered. Ambry has a dedicated team that will discuss these issues with you.

How much will this cost me?

Each individual’s costs may be different depending upon a variety of factors. We are committed to helping you receive the testing you need, by considering all relevant factors that may qualify you for financial assistance.

When can I expect a bill?

If you are responsible for any costs, the billing process may take up to 90 days, but in rare instances may take longer.

What is Ambry’s billing policy?

For the most up-to-date information regarding our billing policy, all questions should be directed to our Billing Department at +1 949-900-5795.

Is financial assistance right for me?

  • Our cost estimator can take into account your financial information and estimate your potential cost. Please call our Patient Financial Service team at +1 949-900-5795 for any questions regarding the cost estimator.

If I cannot afford the test, do I have the option to cancel the test?

We offer test cancellations within 7 days of the sample receipt date. However, if you are eligible for financial assistance, we are confident that cost will not be a barrier.

What happens if I do not agree with the Out-of-Pocket amount?

If you ever have any problems with your patient statement, please contact our Billing Department and we will discuss your situation to ensure information accuracy and update as needed.

How is my Out-of-Pocket (OOP) amount determined?

  • If you are submitting to your insurance, we offer personalized verification of insurance coverage and will always consider your personal situation for final costs. Typically your OOP is the deductible, co-pay or co-insurance amounts as indicated by your health plan. Many insurance plans cover genetic testing.
  • Ambry will provide you with an estimate of the patient responsibility based on the test ordered, estimated reimbursement and the specific insurer’s contracted rates, in addition to your personal insurance and financial situation.
  • Your final OOP may be adjusted if, when filling out the TRF with your doctor or genetic counselor, you elected to be considered for our Patient Assistance Program and meet Patient Assistance Program’s eligibility requirements. Your OOP may also be adjusted by your insurance company during the evaluation and processing of your claim.

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