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Moderate-Complexity Genetic Analysis

Iowa 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 $288 · 10th–90th $141$5370%10%10th90th$288Professionalmedian $178 · 10th–90th $112$1,2300%10%10th90th$178$10.0$20.0$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
$141.25
Median
$416.87
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$245.47
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$549.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21