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Genetic Test For A Blood Disorder Gene (CALR)

Illinois rates for HCPCS 81219

A blood sample is tested for common genetic changes in a gene called CALR, which are associated with certain blood and bone marrow disorders that cause the body to overproduce blood cells. Identifying this gene change can help confirm a diagnosis in someone with abnormal blood counts.

Rates data updated July 2026.

How much does Genetic Test For A Blood Disorder Gene (CALR) cost?

$105

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $214 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$100$83.18 to $120
FacilityA hospital or hospital-owned outpatient department$214$145 to $331

How much rates vary

Facilitymedian $214 · 10th to 90th $105 to $661Professionalmedian $100 · 10th to 90th $3 to $245
$5$20$100$500facility $214professional $100

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
$104.71
Median
$208.93
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$501.19
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$83.18
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$147.91
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$602.56
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$165.96

Where Illinois sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

Illinois· 42nd of 51

$105

AK $275DC $91.20

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.