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Moderate-Complexity Genetic Analysis

Idaho 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.

How much does Moderate-Complexity Genetic Analysis cost?

$191

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $275 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$174 to $257
FacilityA hospital or hospital-owned outpatient department$275$186 to $427

How much rates vary

Facilitymedian $275 · 10th to 90th $120 to $479Professionalmedian $191 · 10th to 90th $107 to $363
$100$200$500facility $275professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$426.58
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$316.23
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$389.05
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$309.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$190.55
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$158.49
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$660.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$194.98
Select Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$239.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$186.21

Where Idaho sits

The same service costs 4.2 times more in Alaska than in Vermont. 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.

Idaho· 21st of 51

$191

AK $417VT $100

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.