Overview

The Diagnostic Testing Pricer API is an Ancillary Benefits Management (ABM) service that provides pricing information for diagnostic tests based on payer policies, fee schedules, and supporting reference data. The API enables automated pricing determinations across claims and other healthcare payer workflows, allowing organizations to apply reimbursement logic at a more granular level than traditional CPT or procedure code-based pricing.

This helps improve pricing accuracy, support consistent payment decisions, and reduce administrative effort through automation.

While currently used to support genetic and molecular diagnostic testing, the API is designed as a reusable ABM pricing service that can be extended to additional ancillary benefit use cases over time.