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Genetic Test For A Blood Disorder Gene (CALR)

Rhode Island 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?

$115

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $363 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 4 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$115$91.20 to $123
FacilityA hospital or hospital-owned outpatient department$363$148 to $479

How much rates vary

Facilitymedian $363 · 10th to 90th $141 to $741Professionalmedian $115 · 10th to 90th $91 to $123
$50.0$100.0$200.0$500.0facility $363professional $115

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
$199.53
Median
$380.19
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$239.88

Where Rhode Island 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.

Rhode Island $115 · 40th 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.