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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 October 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$115

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $339 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$81.28 to $148
FacilityA hospital or hospital-owned outpatient department$339$224 to $339

How much rates vary

Facilitymedian $339 · 10th to 90th $145 to $339Professionalmedian $112 · 10th to 90th $65 to $214
$10$20$50$100$200$500facility $339professional $112

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$151.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$19.95
Typical High
$30.20
Ambetter
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
AvMed
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$186.21
Typical High
$223.87
AvMed
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$147.91
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$141.25
Typical High
$331.13
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$398.11
Molina
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$83.18
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$79.43
Typical High
$245.47
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$186.21
Typical High
$186.21

Where Florida 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.

Florida· 50th of 51

$115

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.