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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 October 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$209

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $129 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$100 to $229
FacilityA hospital or hospital-owned outpatient department$129$129 to $219

How much rates vary

Facilitymedian $129 · 10th to 90th $129 to $389Professionalmedian $219 · 10th to 90th $78 to $275
$100$200$500$1Kfacility $129professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$275.42
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$257.04
Median
$380.19
Typical High
$446.68
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$42.66
Median
$63.10
Typical High
$74.13
BCBS North Dakota
Setting
Professional
Modifier
59 · Distinct service
Typical Low
$213.80
Median
$316.23
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$269.15
Typical High
$331.13
Medica
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$218.78
Typical High
$389.05
Medica
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$223.87
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$208.93
Typical High
$269.15

Where North Dakota sits

The same service costs 3.7 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 13th of 51

$209

AK $417KY $112

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.