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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 July 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$275

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $417 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$123 to $513
FacilityA hospital or hospital-owned outpatient department$417$234 to $490

How much rates vary

Facilitymedian $417 · 10th to 90th $123 to $646Professionalmedian $123 · 10th to 90th $112 to $1,230
$100.0$200.0$500.0$1.0Kfacility $417professional $123

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
$186.21
Median
$416.87
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$275.42
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$537.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$177.83
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$512.86

Where Nebraska 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.

Nebraska $275 · 2nd 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.