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Moderate-Complexity Genetic Analysis

New Mexico 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 $589 · 10th–90th $166$1,5490%5%10%10th90th$589Professionalmedian $151 · 10th–90th $78$1,2300%10%20%10th90th$151$100.0$500.0$2.0K$10.0K$50.0K

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
$275.42
Median
$549.54
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,000.00
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$208.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$234.42
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$147.91