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Genetic Test For Hereditary Iron Overload (HFE Gene)

Kentucky 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?

$53.70

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $97.72 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$51.29$32.36 to $60.26
FacilityA hospital or hospital-owned outpatient department$97.72$58.88 to $229

How much rates vary

Facilitymedian $98 · 10th to 90th $54 to $479Professionalmedian $51 · 10th to 90th $32 to $89
$50$100$200$500facility $98professional $51

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
$53.70
Median
$97.72
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$53.70
Typical High
$89.13

Where Kentucky 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.

Kentucky· 50th of 51

$53.70

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.