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Genetic Test For Hereditary Iron Overload (HFE Gene)

Illinois 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?

$66.07

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $110 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$53.70$48.98 to $69.18
FacilityA hospital or hospital-owned outpatient department$110$67.61 to $148

How much rates vary

Facilitymedian $110 · 10th to 90th $56 to $302Professionalmedian $54 · 10th to 90th $3 to $132
$5$10$20$50$100$200$500facility $110professional $54

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
$56.23
Median
$107.15
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$269.15
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$44.67
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$91.20
Typical High
$120.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$588.84
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
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$52.48
Typical High
$165.96

Where Illinois 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.

Illinois· 36th of 51

$66.07

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.