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Moderate-Complexity Genetic Analysis

Oklahoma 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?

$178

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $269 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$112$77.62 to $186
FacilityA hospital or hospital-owned outpatient department$269$186 to $363

How much rates vary

Facilitymedian $269 · 10th to 90th $138 to $447Professionalmedian $112 · 10th to 90th $78 to $933
$100$200$500$1Kfacility $269professional $112

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
$138.04
Median
$151.36
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$138.04
Typical High
$194.98
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$302.00
Typical High
$426.58
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Medica
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$186.21
Typical High
$870.96
Medica
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$186.21
Typical High
$933.25
United
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$123.03

Where Oklahoma 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.

Oklahoma· 31st of 51

$178

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.