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Genetic Test For Hemophilia B

Idaho rates for HCPCS 81238

A laboratory test that examines the gene for clotting factor nine, the blood protein that is missing or not working properly in hemophilia B. Identifying the specific change confirms the diagnosis, helps predict how severe the bleeding tendency is likely to be, and lets relatives be tested for the same change. It is run on a blood sample sent to a specialized genetics laboratory.

Rates data updated October 2026.

How much does Genetic Test For Hemophilia B cost?

$631

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,122 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$513 to $955
FacilityA hospital or hospital-owned outpatient department$1,122$676 to $1,514

How much rates vary

Facilitymedian $1,122 · 10th to 90th $603 to $2,138Professionalmedian $617 · 10th to 90th $251 to $1,175
$500$1K$2Kfacility $1,122professional $617

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,174.90
Typical High
$1,174.90
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,174.90
Typical High
$2,137.96
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$602.56
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$1,258.93
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$446.68
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$1,174.90
Moda Health
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$691.83
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$512.86
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$891.25
Typical High
$1,148.15
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$891.25
Typical High
$1,148.15
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,348.96
Typical High
$2,137.96
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$630.96
Select Health
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$776.25
Select Health
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$851.14
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$954.99
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$416.87
Median
$426.58
Typical High
$426.58

Where Idaho sits

The same service costs 3.7 times more in Alaska than in Delaware. 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.

Idaho· 18th of 51

$631

AK $1,349DE $363

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.