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Genetic Test For Hereditary Iron Overload (HFE Gene)

Michigan 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?

$61.66

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $66.07 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 7 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$61.66$48.98 to $69.18
FacilityA hospital or hospital-owned outpatient department$66.07$61.66 to $115

How much rates vary

Facilitymedian $66 · 10th to 90th $62 to $372Professionalmedian $62 · 10th to 90th $49 to $78
$50$100$200$500facility $66professional $62

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
$61.66
Median
$66.07
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$67.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$91.20
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$208.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$112.20
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$53.70
Typical High
$100.00

Where Michigan 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.

Michigan· 46th of 51

$61.66

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.