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Genetic Test For A Blood Disorder Gene (CALR)

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $229 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 7 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$97.72$97.72 to $145
FacilityA hospital or hospital-owned outpatient department$229$126 to $398

How much rates vary

Facilitymedian $229 · 10th to 90th $98 to $525Professionalmedian $98 · 10th to 90th $63 to $182
$100$200$500$1Kfacility $229professional $98

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
$97.72
Median
$257.04
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$501.19
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$263.03
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$165.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$912.01

Where North Carolina 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.

North Carolina· 34th of 51

$123

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.