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GBA Gene Test For Gaucher Disease

Illinois 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?

$38.90

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $74.13 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 5 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$38.90$32.36 to $46.77
FacilityA hospital or hospital-owned outpatient department$74.13$48.98 to $97.72

How much rates vary

Facilitymedian $74 · 10th to 90th $41 to $129Professionalmedian $39 · 10th to 90th $3 to $87
$5$10$20$50$100$200$500facility $74professional $39

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
$38.90
Median
$74.13
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.90
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$165.96
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$32.36
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$57.54
Typical High
$79.43
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$125.89
Typical High
$269.15
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$46.77

Where Illinois 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.

Illinois· 42nd of 51

$38.90

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.