go back

Genetic Test For Hereditary Iron Overload (HFE Gene)

North Dakota 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?

$117

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $117 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$115$75.86 to $148
FacilityA hospital or hospital-owned outpatient department$117$50.12 to $166

How much rates vary

Facilitymedian $117 · 10th to 90th $46 to $170Professionalmedian $115 · 10th to 90th $46 to $195
$50$100$200facility $117professional $115

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
$45.71
Median
$165.96
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$117.49
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$93.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$89.13
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$77.62
Typical High
$112.20

Where North Dakota 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 Dakota· 4th of 51

$117

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.