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GBA Gene Test For Gaucher Disease

Rhode Island 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?

$83.18

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $56.23 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 4 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$83.18$35.48 to $158
FacilityA hospital or hospital-owned outpatient department$56.23$54.95 to $126

How much rates vary

Facilitymedian $56 · 10th to 90th $47 to $269Professionalmedian $83 · 10th to 90th $35 to $200
$20$50$100$200facility $56professional $83

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
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$67.61

Where Rhode Island 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.

Rhode Island· 3rd of 51

$83.18

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.