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Moderate-Complexity Genetic Analysis

Massachusetts 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 $166$5890%10%10th90th$372Professionalmedian $186 · 10th–90th $100$4570%20%40%10th90th$186$100.0$500.0$2.0K$10.0K$50.0K

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
$100.00
Median
$323.59
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$457.09
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$512.86
Typical High
$870.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$478.63
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$338.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$512.86
Typical High
$870.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$416.87