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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.

Facilitymedian $417 · 10th–90th $123$6460%10%10th90th$417Professionalmedian $123 · 10th–90th $112$1,2300%50%10th90th$123$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
$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