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Moderate-Complexity Genetic Analysis

North Dakota 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 $132 · 10th–90th $129$3310%20%40%10th90th$132Professionalmedian $174 · 10th–90th $100$5500%20%10th90th$174$100.0$200.0$500.0$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
$128.82
Median
$128.82
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$218.78
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$316.23