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Moderate-Complexity Genetic Analysis

Nevada 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 Nevada, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $219 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$93.33$74.13 to $186
FacilityA hospital or hospital-owned outpatient department$219$186 to $257

How much rates vary

Facilitymedian $219 · 10th to 90th $186 to $676Professionalmedian $93 · 10th to 90th $74 to $240
$50$100$200$500$1K$2Kfacility $219professional $93

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
$144.54
Median
$309.03
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$144.54
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$208.93
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$218.78
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$223.87
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$46.77
Typical High
$281.84
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Select Health
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$147.91
Typical High
$239.88

Where Nevada 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.

Nevada· 28th 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.