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Gene Test For A Mutation Linked To Mast Cell Disease

Vermont rates for HCPCS 81273

This laboratory test examines a specific gene for a change associated with a mast cell condition, in which the body produces too many mast cells or these cells become overactive. The test looks at a particular section of the gene most likely to carry this disease-related change rather than sequencing the entire gene. Results can help guide decisions about treatments that target this specific gene change.

Rates data updated October 2026.

How much does Gene Test For A Mutation Linked To Mast Cell Disease cost?

$174

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $550 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$145$87.10 to $155
FacilityA hospital or hospital-owned outpatient department$550$501 to $550

How much rates vary

Facilitymedian $550 · 10th to 90th $501 to $575Professionalmedian $145 · 10th to 90th $74 to $191
$100$200$500facility $550professional $145

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
$501.19
Median
$501.19
Typical High
$549.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$154.88
Typical High
$154.88
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$147.91
Typical High
$281.84
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$144.54
Typical High
$275.42

Where Vermont sits

The same service costs 4.5 times more in Alaska than in Alabama. 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· 5th of 51

$174

AK $282AL $63.10

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.