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Moderate-Complexity Genetic Analysis

Delaware 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 $214 · 10th–90th $49$1,6600%10%10th90th$214Professionalmedian $123 · 10th–90th $100$5500%20%10th90th$123$50.0$100.0$200.0$500.0$1.0K

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
$48.98
Median
$213.80
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$851.14
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$275.42