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Genetic Test For A Blood Disorder Gene (CALR)

Vermont 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?

$204

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $617 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$204$115 to $204
FacilityA hospital or hospital-owned outpatient department$617$204 to $708

How much rates vary

Facilitymedian $617 · 10th to 90th $123 to $708Professionalmedian $204 · 10th to 90th $115 to $204
$100$200$500facility $617professional $204

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$251.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$331.13

Where Vermont 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.

Vermont· 4th of 51

$204

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.