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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.

Facilitymedian $275 · 10th–90th $120$4790%10%20%10th90th$275Professionalmedian $191 · 10th–90th $107$3630%10%20%10th90th$191$100.0$200.0$500.0

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
$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