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Genetic Test For A Blood Disorder Gene (CALR)

South 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?

$100

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $97.72 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 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$97.72$95.50 to $138
FacilityA hospital or hospital-owned outpatient department$302$105 to $389

How much rates vary

Facilitymedian $302 · 10th to 90th $95 to $525Professionalmedian $98 · 10th to 90th $83 to $170
$100$200$500facility $302professional $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
$95.50
Median
$302.00
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$97.72
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$467.74
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$147.91
Medcost
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$165.96

Where South 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.

South Carolina· 46th of 51

$100

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.