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High-Complexity Genetic Test For An Uncommon Gene

Kentucky rates for HCPCS 81408

A genetic laboratory test that analyzes a specific gene not commonly tested on its own, using methods reserved for higher-complexity genetic analysis such as detailed sequencing of a large or complicated gene. It is used across a wide range of inherited conditions, with the specific gene and condition depending on why the test was ordered. Because there is no more specific standard test available for this particular gene, this general higher-complexity category is used instead.

Rates data updated July 2026.

How much does High-Complexity Genetic Test For An Uncommon Gene cost?

$1,585

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $1,995 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,585$1,000 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,995$1,622 to $3,020

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,622 to $4,786Professionalmedian $1,585 · 10th to 90th $1,000 to $3,631
$1K$2K$5K$10Kfacility $1,995professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$3,630.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$3,801.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,995.26

Where Kentucky sits

The same service costs 3.7 times more in Alaska than in Vermont. 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.

Kentucky· 39th of 51

$1,585

AK $4,467VT $1,202

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.