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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.

How much does Moderate-Complexity Genetic Analysis cost?

$263

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $372 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 5 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$178$138 to $263
FacilityA hospital or hospital-owned outpatient department$372$275 to $437

How much rates vary

Facilitymedian $372 · 10th to 90th $186 to $692Professionalmedian $178 · 10th to 90th $112 to $562
$100$200$500$1Kfacility $372professional $178

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
$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

Where Kansas 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.

Kansas· 3rd of 51

$263

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.