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Moderate-Complexity Genetic Analysis

Washington, DC 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?

$148

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $132 to $174.

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.

How much rates vary

Facilitymedian $316 · 10th to 90th $138 to $708Professionalmedian $148 · 10th to 90th $83 to $234
$100$200$500$1Kfacility $316professional $148

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$144.54
CareFirst
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$147.91
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$316.23
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$416.87
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$380.19
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$112.20
Typical High
$223.87

Where Washington, DC 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.

Washington, DC· 40th of 51

$148

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.