go back

Moderate-Complexity Genetic Analysis

Tennessee 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?

$186

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $112 to $389.

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.

How much rates vary

Facilitymedian $347 · 10th to 90th $138 to $479Professionalmedian $166 · 10th to 90th $85 to $1,380
$100$200$500$1Kfacility $347professional $166

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
$147.91
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$147.91
Typical High
$213.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$72.44
Typical High
$107.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$29.51
Typical High
$42.66
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$186.21
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$380.19
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$102.33
Typical High
$251.19
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,380.38
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$112.20
Typical High
$186.21

Where Tennessee 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.

Tennessee· 25th of 51

$186

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.