go back

Moderate-Complexity Genetic Analysis

Texas 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 $347 · 10th–90th $123$9550%5%10th90th$347Professionalmedian $138 · 10th–90th $6$2570%10%10th90th$138$2.0$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
$112.20
Median
$323.59
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$602.56
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$147.91
Typical High
$251.19
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$323.59
Christus
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$346.74
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$316.23
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$295.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$154.88
Typical High
$177.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$199.53
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$186.21
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$251.19