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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 October 2026.

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

$61.66

Typical negotiated rate. In Michigan, October 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 $64.57 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$48.98 to $77.62
FacilityA hospital or hospital-owned outpatient department$64.57$61.66 to $83.18

How much rates vary

Facilitymedian $65 · 10th to 90th $56 to $219Professionalmedian $62 · 10th to 90th $47 to $93
$10$20$50$100$200$500facility $65professional $62

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$97.72
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$48.98
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.30
Typical High
$19.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$66.07
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$29.51
Median
$32.36
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$12.88
Typical High
$13.18
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$48.98
Typical High
$48.98
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$48.98
Typical High
$48.98
CareSource
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
CareSource
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$72.44
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$50.12
Typical High
$89.13
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$67.61
Typical High
$223.87
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$48.98
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.30
Typical High
$19.50
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$83.18
Typical High
$109.65
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Priority Health
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$50.12
Typical High
$91.20
United
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$58.88
Typical High
$77.62
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$53.70
Typical High
$85.11

Where Michigan sits

The same service costs 4.8 times more in Kansas than in Illinois. 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· 36th of 51

$61.66

KS $240IL $50.12

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.