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Moderate-Complexity Genetic Analysis

Alabama 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.

How much does Moderate-Complexity Genetic Analysis cost?

$182

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$112 to $214
FacilityA hospital or hospital-owned outpatient department$204$178 to $214

How much rates vary

Facilitymedian $204 · 10th to 90th $162 to $275Professionalmedian $145 · 10th to 90th $100 to $214
$100$200facility $204professional $145

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$186.21

Where Alabama sits

The same service costs 4.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alabama· 30th of 51

$182

AK $417VT $100

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.