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Moderate-Complexity Genetic Analysis

Florida 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 $234 · 10th–90th $132$7410%10%10th90th$234Professionalmedian $129 · 10th–90th $100$2000%10%20%10th90th$129$5.0$20.0$100.0$500.0$2.0K

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
$131.83
Median
$223.87
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
AvMed
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$218.78
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$331.13
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$275.42
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$186.21
Typical High
$186.21