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Genetic Test For Hereditary Iron Overload (HFE Gene)

Vermont 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 October 2026.

How much does Genetic Test For Hereditary Iron Overload (HFE Gene) cost?

$126

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $347 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$66.07 to $95.50
FacilityA hospital or hospital-owned outpatient department$347$347 to $575

How much rates vary

Facilitymedian $347 · 10th to 90th $158 to $575Professionalmedian $76 · 10th to 90th $39 to $162
$50$100$200$500facility $347professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$66.07
Typical High
$66.07
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$162.18
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$123.03
Typical High
$162.18
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$75.86
Typical High
$177.83

Where Vermont sits

The same service costs 4.8 times more in Kansas than in Illinois. 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.

Vermont· 4th of 51

$126

KS $240IL $50.12

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.