go back

Genetic Test For Hereditary Iron Overload (HFE Gene)

New Jersey 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?

$66.07

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $209 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$64.57$51.29 to $67.61
FacilityA hospital or hospital-owned outpatient department$209$123 to $398

How much rates vary

Facilitymedian $209 · 10th to 90th $66 to $891Professionalmedian $65 · 10th to 90th $44 to $78
$100$1K$10Kfacility $209professional $65

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
$83.18
Median
$213.80
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$77.62
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$398.11
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$134.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$123.03
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$66.07
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.90
Typical High
$89.13

Where New Jersey 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.

New Jersey· 40th of 51

$66.07

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.