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Moderate-Complexity Genetic Analysis

Nebraska 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?

$132

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $417 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$112 to $355
FacilityA hospital or hospital-owned outpatient department$417$275 to $501

How much rates vary

Facilitymedian $417 · 10th to 90th $112 to $871Professionalmedian $112 · 10th to 90th $105 to $933
$100$200$500$1Kfacility $417professional $112

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$416.87
Typical High
$436.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$436.52
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$489.78
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$354.81
Typical High
$446.68
Medica
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$275.42
Typical High
$870.96
Medica
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$933.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$77.62
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$112.20
Typical High
$549.54

Where Nebraska 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.

Nebraska· 47th of 51

$132

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.