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SMPD1 Gene Test For Niemann-Pick Disease

West Virginia 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?

$38.90

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $58.88 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 4 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$38.02$34.67 to $39.81
FacilityA hospital or hospital-owned outpatient department$58.88$38.90 to $70.79

How much rates vary

Facilitymedian $59 · 10th to 90th $39 to $91Professionalmedian $38 · 10th to 90th $32 to $40
$20$50$100$200facility $59professional $38

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
$38.90
Median
$58.88
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$141.25
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$229.09
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$51.29

Where West Virginia 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.

West Virginia· 43rd of 51

$38.90

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.