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Genetic Test For Hemophilia B

Michigan 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?

$562

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $575 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$447 to $603
FacilityA hospital or hospital-owned outpatient department$575$562 to $776

How much rates vary

Facilitymedian $575 · 10th to 90th $447 to $1,122Professionalmedian $490 · 10th to 90th $363 to $692
$10$20$50$100$200$500$1Kfacility $575professional $490

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
$575.44
Median
$575.44
Typical High
$891.25
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$281.84
Median
$281.84
Typical High
$446.68
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$114.82
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$575.44
Typical High
$602.56
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$257.04
Median
$288.40
Typical High
$302.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$102.33
Median
$117.49
Typical High
$120.23
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$630.96
Typical High
$1,122.02
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$323.59
Typical High
$812.83
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$1,659.59
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$281.84
Median
$281.84
Typical High
$446.68
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$114.82
Typical High
$177.83
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$575.44
Typical High
$758.58
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Priority Health
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$338.84
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$537.03
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where Michigan 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.

Michigan· 31st of 51

$562

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.