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Moderate-Complexity Genetic Analysis

Colorado 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 $501 · 10th–90th $141$8710%10%10th90th$501Professionalmedian $141 · 10th–90th $78$2000%20%10th90th$141$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$117.49
Median
$407.38
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$549.54
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$269.15
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$281.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$1,513.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$147.91