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GBA Gene Test For Gaucher Disease

Georgia rates for HCPCS 81251

A laboratory test on a blood sample that checks the GBA gene for a set of well-recognized changes. When both copies of this gene are altered, a fatty substance builds up in the spleen, liver, and bone marrow, causing Gaucher disease.

Rates data updated July 2026.

How much does GBA Gene Test For Gaucher Disease cost?

$43.65

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $63.10 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 7 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$38.02$31.62 to $45.71
FacilityA hospital or hospital-owned outpatient department$63.10$46.77 to $100

How much rates vary

Facilitymedian $63 · 10th to 90th $38 to $145Professionalmedian $38 · 10th to 90th $24 to $66
$20$50$100facility $63professional $38

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
$31.62
Median
$43.65
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$50.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$50.12
Typical High
$100.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$53.70
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$363.08
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$61.66

Where Georgia 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.

Georgia· 35th of 51

$43.65

AK $107DC $35.48

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.