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Genetic Test For Hemophilia B

Montana 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?

$871

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,023 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$813$537 to $871
FacilityA hospital or hospital-owned outpatient department$1,023$891 to $1,122

How much rates vary

Facilitymedian $1,023 · 10th to 90th $813 to $1,288Professionalmedian $813 · 10th to 90th $251 to $1,072
$500$1K$2Kfacility $1,023professional $813

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
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$891.25
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,202.26
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$891.25
Typical High
$3,388.44
Providence
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$602.56

Where Montana 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.

Montana· 5th of 51

$871

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.