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Genetic Test For Hereditary Iron Overload (HFE Gene)

Virginia 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?

$67.61

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $97.72 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 8 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$41.69 to $70.79
FacilityA hospital or hospital-owned outpatient department$97.72$66.07 to $162

How much rates vary

Facilitymedian $98 · 10th to 90th $62 to $347Professionalmedian $62 · 10th to 90th $32 to $123
$50$200$1K$5Kfacility $98professional $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
$61.66
Median
$138.04
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$53.70
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$213.80
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$162.18
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$91.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$138.04
Typical High
$190.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.90
Typical High
$100.00

Where Virginia 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.

Virginia· 31st of 51

$67.61

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.