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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 October 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$282

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $295 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$112 to $263
FacilityA hospital or hospital-owned outpatient department$295$282 to $427

How much rates vary

Facilitymedian $295 · 10th to 90th $282 to $447Professionalmedian $186 · 10th to 90th $112 to $468
$100$200$500$1Kfacility $295professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$223.87
Typical High
$331.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$186.21
Typical High
$194.98
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$295.12
Typical High
$446.68
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$204.17
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$269.15
Typical High
$269.15
Medica
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$186.21
Typical High
$323.59
Medica
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$933.25
United
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$112.20
Typical High
$316.23
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$93.33
Typical High
$97.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$37.15
Typical High
$38.90

Where Kansas sits

The same service costs 3.7 times more in Alaska than in Kentucky. 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· 4th of 51

$282

AK $417KY $112

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.