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Moderate-Complexity Genetic Analysis

South Dakota 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 $355 · 10th–90th $209$3890%50%10th90th$355Professionalmedian $186 · 10th–90th $95$4470%5%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
$128.82
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$933.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21