Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant in Virginia
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Virginia
| Provider | Medicare | Services |
|---|---|---|
| Quest Diagnostics Nichols... | $100.21 | 40 |
Virginia Pricing in Context
In Virginia, CPT code 81257 (Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant) carries an average Medicare payment of $100.21 — 0% above the national benchmark of $99.93. 2 providers across the state submitted claims for this procedure in 2023, performing 41 total services. Individual payments in VA 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 Virginia is $911.42, 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 Virginia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Genetic/Molecular Test procedures, the estimated commercial insurance price in Virginia lands near $220.46, with self-pay cash prices typically around $325.80. 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 Virginia?
The average Medicare payment for Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant in Virginia is $100.21, which is 0% above the national average of $99.93. Providers in VA typically bill $911.42 for this procedure.
What does Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant cost with insurance in Virginia?
With commercial insurance in Virginia, Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant costs an estimated $220.46. Without insurance, the estimated cash price is $325.80. 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 Virginia?
2 providers in Virginia billed Medicare for Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant in 2023, performing 41 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 Virginia than the national average?
No — Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Common Deletions Or Variant costs 0% above the national average in Virginia. The state average Medicare payment is $100.21 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.