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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 July 2026.

Facilitymedian $490 · 10th–90th $138$8320%20%10th90th$490Professionalmedian $138 · 10th–90th $115$3550%50%10th90th$138$0.2$1.0$5.0$20.0$100.0$500.0

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
$138.04
Median
$489.78
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$144.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$354.81
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$234.42
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$223.87
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$954.99