go back

Genetic Test For Hereditary Iron Overload (HFE Gene)

Washington, DC rates for HCPCS 81256

A blood sample is tested for the most common genetic changes linked to hereditary hemochromatosis, a condition in which the body absorbs and stores too much iron over time. Identifying these gene changes can help confirm a diagnosis in someone with signs of iron overload or a family history of the condition.

Rates data updated July 2026.

How much does Genetic Test For Hereditary Iron Overload (HFE Gene) cost?

$48.98

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $117 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$48.98$48.98 to $51.29
FacilityA hospital or hospital-owned outpatient department$117$48.98 to $209

How much rates vary

Facilitymedian $117 · 10th to 90th $49 to $224Professionalmedian $49 · 10th to 90th $48 to $145
$50$100$200$500facility $117professional $49

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
$48.98
Median
$117.49
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$48.98
Typical High
$51.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$144.54
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$75.86
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$77.62
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$61.66
Typical High
$338.84

Where Washington, DC sits

The same service costs 3.6 times more in Nebraska 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.

Washington, DC· 51st of 51

$48.98

NE $178DC $48.98

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.