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SMPD1 Gene Test For Niemann-Pick Disease

Maine rates for HCPCS 81330

A laboratory test on a blood sample that checks the SMPD1 gene for a set of well-recognized changes. When both copies of this gene are altered, a fatty substance builds up inside the body's cells, causing Niemann-Pick disease.

Rates data updated July 2026.

How much does SMPD1 Gene Test For Niemann-Pick Disease cost?

$46.77

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $75.86 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 6 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$46.77$38.02 to $46.77
FacilityA hospital or hospital-owned outpatient department$75.86$46.77 to $209

How much rates vary

Facilitymedian $76 · 10th to 90th $47 to $589Professionalmedian $47 · 10th to 90th $28 to $58
$20$50$100$200$500facility $76professional $47

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
$46.77
Median
$72.44
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.02
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$588.84
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$47.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$56.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$208.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$72.44

Where Maine sits

The same service costs 3.0 times more in Alaska than in New Mexico. 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· 30th of 51

$46.77

AK $105NM $35.48

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.