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Moderate-Complexity Genetic Analysis

Oregon 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 $240 · 10th–90th $186$5130%20%10th90th$240Professionalmedian $186 · 10th–90th $100$3630%10%10th90th$186$100.0$200.0$500.0$1.0K

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
$269.15
Median
$371.54
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$489.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$257.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$257.04
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$371.54
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$549.54
Typical High
$676.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$223.87