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Moderate-Complexity Genetic Analysis

Kentucky 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 $186 · 10th–90th $151$4470%20%10th90th$186Professionalmedian $126 · 10th–90th $74$2510%20%10th90th$126$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
$151.36
Median
$151.36
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$186.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$354.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$186.21