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Genetic Test For Hereditary Iron Overload (HFE Gene)

Ohio 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?

$72.44

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $148 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 9 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$52.48$42.66 to $69.18
FacilityA hospital or hospital-owned outpatient department$148$83.18 to $240

How much rates vary

Facilitymedian $148 · 10th to 90th $63 to $309Professionalmedian $52 · 10th to 90th $32 to $195
$50$100$200$500facility $148professional $52

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
$66.07
Median
$181.97
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$41.69
Typical High
$89.13
Aultcare
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$162.18
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$93.33
Typical High
$537.03
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$70.79
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.90
Typical High
$112.20

Where Ohio 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.

Ohio· 20th of 51

$72.44

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.