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Full Gene Test For An Inherited Anemia

New York 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 July 2026.

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

$603

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,000 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 9 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$479$324 to $724
FacilityA hospital or hospital-owned outpatient department$1,000$603 to $1,413

How much rates vary

Facilitymedian $1,000 · 10th to 90th $490 to $1,660Professionalmedian $479 · 10th to 90th $240 to $1,175
$500$1K$2Kfacility $1,000professional $479

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
$489.78
Median
$1,023.29
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,174.90
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$602.56
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,288.25
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$741.31
Typical High
$2,570.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,659.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,148.15
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$1,071.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$776.25
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$1,348.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$776.25
Univera
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$1,445.44

Where New York sits

The same service costs 3.4 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.

New York· 26th of 51

$603

AK $1,349DE $398

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.