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GBA Gene Test For Gaucher Disease

New Mexico 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?

$35.48

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $70.79 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$35.48$32.36 to $38.90
FacilityA hospital or hospital-owned outpatient department$70.79$42.66 to $141

How much rates vary

Facilitymedian $71 · 10th to 90th $31 to $151Professionalmedian $35 · 10th to 90th $32 to $56
$20$50$100$200$500facility $71professional $35

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$42.66
Typical High
$53.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$61.66
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$42.66
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$38.02

Where New Mexico 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.

New Mexico· 50th of 51

$35.48

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.