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Moderate-Complexity Genetic Analysis

Nationwide rates for HCPCS 81403

This genetic test analyzes a specific inherited gene change of moderate testing complexity. It's used when the gene involved doesn't have its own dedicated, individually named test, so a standardized level of testing is used instead based on the complexity of the analysis required. It helps confirm or rule out a specific genetic condition being considered by a doctor or genetic counselor.

Rates data updated July 2026.

Facilitymedian $288 · 10th–90th $148$7940%10%10th90th$288Professionalmedian $151 · 10th–90th $93$3630%10%20%10th90th$151$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$302.00
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$380.19
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$223.87
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$338.84