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Genetic Test For Hereditary Iron Overload (HFE Gene)

North Carolina 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?

$70.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $200 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 6 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$57.54$52.48 to $83.18
FacilityA hospital or hospital-owned outpatient department$200$66.07 to $355

How much rates vary

Facilitymedian $200 · 10th to 90th $52 to $457Professionalmedian $58 · 10th to 90th $44 to $162
$50$100$200$500facility $200professional $58

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
$52.48
Median
$199.53
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$57.54
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$141.25
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$89.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$114.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$44.67
Typical High
$100.00
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$489.78

Where North Carolina 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.

North Carolina· 26th of 51

$70.79

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.