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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 July 2026.

Facilitymedian $229 · 10th–90th $138$7940%10%10th90th$229Professionalmedian $148 · 10th–90th $100$2750%10%20%10th90th$148$10.0$50.0$200.0$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
$281.84
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$380.19
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$257.04
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$186.21