go back

Moderate-Complexity Genetic Analysis

South Carolina 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 $457 · 10th–90th $145$7940%20%10th90th$457Professionalmedian $148 · 10th–90th $107$2570%20%40%10th90th$148$10.0$20.0$50.0$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
$144.54
Median
$457.09
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$281.84
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$223.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$186.21