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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 July 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$186

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $355 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 5 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$186$120 to $186
FacilityA hospital or hospital-owned outpatient department$355$257 to $741

How much rates vary

Facilitymedian $355 · 10th to 90th $100 to $1,047Professionalmedian $186 · 10th to 90th $100 to $347
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $355professional $186

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
$100.00
Median
$257.04
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$1,047.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$676.08
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$776.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$416.87

Where New Hampshire 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.

New Hampshire $186 · 27th 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.