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Genetic Test For A Blood Disorder Gene (CALR)

Massachusetts 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?

$123

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $302 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 9 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$123$123 to $141
FacilityA hospital or hospital-owned outpatient department$302$170 to $372

How much rates vary

Facilitymedian $302 · 10th to 90th $115 to $513Professionalmedian $123 · 10th to 90th $91 to $302
$100.0$1.0K$10.0Kfacility $302professional $123

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
$114.82
Median
$281.84
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$363.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$416.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$309.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$954.99
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$173.78
Typical High
$204.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$234.42
Health New England
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$275.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$416.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$281.84

Where Massachusetts sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $123 · 31st of 51
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.