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Full Gene Test For An Inherited Anemia

Maine rates for HCPCS 81259

A blood test that reads the complete sequence of the genes for one of the building blocks of hemoglobin, the protein that carries oxygen in red blood cells. It looks for inherited changes that cause an anemia in which too little of that building block is made.

Rates data updated October 2026.

How much does Full Gene Test For An Inherited Anemia cost?

$490

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $363 to $741.

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.

How much rates vary

Facilitymedian $794 · 10th to 90th $575 to $3,631Professionalmedian $389 · 10th to 90th $302 to $871
$500$1K$2K$5Kfacility $794professional $389

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$489.78
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$794.33
Typical High
$3,630.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$363.08
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$602.56
Typical High
$645.65
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$602.56
Typical High
$1,047.13
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$1,047.13

Where Maine sits

The same service costs 3.7 times more in Alaska than in Delaware. 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.

Maine· 37th of 51

$490

AK $1,349DE $363

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.