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Moderate-Complexity Genetic Analysis

Washington 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 $275 · 10th–90th $186$7590%10%20%10th90th$275Professionalmedian $186 · 10th–90th $100$4170%10%20%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
$173.78
Median
$407.38
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$398.11
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$512.86
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$251.19
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$194.98
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$371.54
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$223.87
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$575.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$223.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$501.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$223.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$331.13