go back

Moderate-Complexity Genetic Analysis

New Hampshire 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?

$186

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $589 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$120$112 to $200
FacilityA hospital or hospital-owned outpatient department$589$347 to $759

How much rates vary

Facilitymedian $589 · 10th to 90th $245 to $955Professionalmedian $120 · 10th to 90th $100 to $427
$100$200$500$1Kfacility $589professional $120

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$588.84
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$676.08
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$194.98
Typical High
$776.25
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$186.21
Typical High
$588.84
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$112.20
Typical High
$234.42

Where New Hampshire 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.

New Hampshire· 27th of 51

$186

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.