go back

Moderate-Complexity Genetic Analysis

Wisconsin 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 $513 · 10th–90th $224$8510%20%10th90th$513Professionalmedian $219 · 10th–90th $74$6460%10%10th90th$219$10.0$20.0$50.0$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
$257.04
Median
$512.86
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$223.87
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$446.68
Typical High
$575.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$776.25
Typical High
$1,174.90
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$186.21
Network Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$524.81
Network Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$524.81
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$549.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$616.60
Quartz
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$870.96
Typical High
$870.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$933.25
Typical High
$933.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$398.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$147.91
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$933.25