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Moderate-Complexity Genetic Analysis

Kansas 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 $372 · 10th–90th $186$6920%10%20%10th90th$372Professionalmedian $178 · 10th–90th $112$5620%10%20%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
$194.98
Median
$371.54
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$338.84
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$177.83
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$275.42