go back

Genetic Test For Hereditary Iron Overload (HFE Gene)

South 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?

$126

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $170 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$70.79$67.61 to $158
FacilityA hospital or hospital-owned outpatient department$170$166 to $170

How much rates vary

Facilitymedian $170 · 10th to 90th $126 to $437Professionalmedian $71 · 10th to 90th $51 to $195
$50$100$200$500$1Kfacility $170professional $71

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
$165.96
Median
$169.82
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$45.71
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07

Where South 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.

South Dakota· 3rd of 51

$126

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.