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Genetic Test For Hereditary Iron Overload (HFE Gene)

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $162 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 4 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$61.66$53.70 to $66.07
FacilityA hospital or hospital-owned outpatient department$162$83.18 to $195

How much rates vary

Facilitymedian $162 · 10th to 90th $78 to $372Professionalmedian $62 · 10th to 90th $49 to $87
$50$100$200facility $162professional $62

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
$107.15
Median
$194.98
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$51.29
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$53.70
Typical High
$128.82

Where Rhode Island 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.

Rhode Island· 42nd 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.