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GBA Gene Test For Gaucher Disease

Tennessee 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?

$39.81

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $72.44 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$37.15$35.48 to $54.95
FacilityA hospital or hospital-owned outpatient department$72.44$42.66 to $158

How much rates vary

Facilitymedian $72 · 10th to 90th $35 to $204Professionalmedian $37 · 10th to 90th $28 to $123
$10$20$50$100$200facility $72professional $37

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
$35.48
Median
$72.44
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$37.15
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$64.57
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$104.71
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$29.51
Typical High
$64.57
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$61.66

Where Tennessee 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.

Tennessee· 37th of 51

$39.81

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.