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Moderate-Complexity Genetic Analysis

Louisiana 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?

$200

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $245 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$87.10 to $204
FacilityA hospital or hospital-owned outpatient department$245$182 to $417

How much rates vary

Facilitymedian $245 · 10th to 90th $182 to $575Professionalmedian $186 · 10th to 90th $78 to $240
$10$20$50$100$200$500$1Kfacility $245professional $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
$194.98
Median
$251.19
Typical High
$954.99
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$125.89
Typical High
$478.63
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$50.12
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$204.17
Typical High
$239.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$109.65
Typical High
$120.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$43.65
Typical High
$47.86
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$371.54
Typical High
$588.84
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$204.17
Typical High
$204.17
Christus
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$436.52
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$87.10
Typical High
$281.84
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$165.96
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$93.33
Typical High
$251.19

Where Louisiana 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.

Louisiana· 20th of 51

$200

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.