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Moderate-Complexity Genetic Analysis

Montana 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 $288 · 10th–90th $229$1,0470%20%10th90th$288Professionalmedian $229 · 10th–90th $95$6310%10%10th90th$229$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
$281.84
Median
$389.05
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$645.65
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$186.21