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Moderate-Complexity Genetic Analysis

Hawaii 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 $182 · 10th–90th $151$2240%10%20%10th90th$182Professionalmedian $229 · 10th–90th $186$3240%20%10th90th$229$100.0$200.0

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
$151.36
Median
$181.97
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
HMSA
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$223.87
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$331.13