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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 October 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$204

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $309 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$148 to $224
FacilityA hospital or hospital-owned outpatient department$309$186 to $447

How much rates vary

Facilitymedian $309 · 10th to 90th $186 to $631Professionalmedian $186 · 10th to 90th $78 to $288
$100$200$500facility $309professional $186

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
$363.08
Median
$457.09
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$177.83
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$512.86
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$208.93
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$446.68
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$257.04
Typical High
$831.76
Moda Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$186.21
Typical High
$257.04
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$204.17
Typical High
$371.54
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$204.17
Providence
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$302.00
Typical High
$549.54
Providence
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$204.17
Typical High
$288.40
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$630.96
Typical High
$794.33
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$158.49
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$275.42
Typical High
$295.12
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$223.87

Where Oregon 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.

Oregon· 17th of 51

$204

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.