Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant in Texas
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Texas
| Provider | Medicare | Services |
|---|---|---|
| Quest Diagnostics Clinical... | $98.66 | 38 |
| Quest Diagnostics Clinical... | $100.21 | 35 |
| Med Fusion, Llc | $100.21 | 27 |
Texas Pricing in Context
In Texas, CPT code 81257 (Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant) carries an average Medicare payment of $99.63 — 0% below the national benchmark of $99.93. 4 providers across the state submitted claims for this procedure in 2023, performing 101 total services. Individual payments in TX ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Texas is $574.57, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Texas sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Genetic/Molecular Test procedures, the estimated commercial insurance price in Texas lands near $229.14, with self-pay cash prices typically around $232.73. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant cost in Texas?
The average Medicare payment for Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant in Texas is $99.63, which is 0% below the national average of $99.93. Providers in TX typically bill $574.57 for this procedure.
What does Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant cost with insurance in Texas?
With commercial insurance in Texas, Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant costs an estimated $229.14. Without insurance, the estimated cash price is $232.73. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant in Texas?
4 providers in Texas billed Medicare for Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant in 2023, performing 101 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant cheaper in Texas than the national average?
Yes — Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant costs 0% below the national average in Texas. The state average Medicare payment is $99.63 compared to $99.93 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.