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Genetic Test For Hemophilia B

Oregon 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 July 2026.

How much does Genetic Test For Hemophilia B cost?

$603

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $661 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 8 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$603$513 to $871
FacilityA hospital or hospital-owned outpatient department$661$603 to $1,122

How much rates vary

Facilitymedian $661 · 10th to 90th $603 to $1,549Professionalmedian $603 · 10th to 90th $363 to $1,175
$100.0$200.0$500.0$1.0K$2.0Kfacility $661professional $603

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
$776.25
Median
$1,122.02
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$660.69
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$1,584.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$831.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$831.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,202.26
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$660.69
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$2,344.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$724.44

Where Oregon sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $603 · 22nd of 51
AK $1,349DE $398

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.