go back

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.

How much does Moderate-Complexity Genetic Analysis cost?

$138

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $102 to $229.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $263 · 10th to 90th $102 to $708Professionalmedian $138 · 10th to 90th $83 to $324
$2.0$10.0$50.0$200.0$1.0Kfacility $263professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Maryland sits

The same service costs 4.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $138 · 49th of 51
AK $417VT $100

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.