go back

Moderate-Complexity Genetic Analysis

Arizona 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 October 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$158

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $407 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$77.62 to $191
FacilityA hospital or hospital-owned outpatient department$407$200 to $603

How much rates vary

Facilitymedian $407 · 10th to 90th $117 to $813Professionalmedian $123 · 10th to 90th $78 to $933
$100$200$500$1Kfacility $407professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$263.03
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$123.03
Typical High
$204.17
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$537.03
Typical High
$812.83
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$181.97
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$363.08
Typical High
$512.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$165.96
Typical High
$724.44
Medica
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$147.91
Typical High
$323.59
Medica
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$112.20

Where Arizona sits

The same service costs 3.7 times more in Alaska than in Kentucky. 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.

Arizona· 36th of 51

$158

AK $417KY $112

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.