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Moderate-Complexity Genetic Analysis

Maryland 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 $263 · 10th–90th $102$7080%10%10th90th$263Professionalmedian $138 · 10th–90th $83$3240%10%20%10th90th$138$2.0$10.0$50.0$200.0$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
$102.33
Median
$338.84
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$162.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$147.91