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Beta Globin Gene Duplication Or Deletion Test

South Dakota rates for HCPCS 81363

A genetic test that looks for missing or duplicated segments within a gene linked to inherited blood disorders such as sickle cell disease and thalassemia. It is used when a more common type of gene change has already been ruled out, to look for larger structural changes instead.

Rates data updated October 2026.

How much does Beta Globin Gene Duplication Or Deletion Test cost?

$229

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $229 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$141 to $389
FacilityA hospital or hospital-owned outpatient department$229$229 to $389

How much rates vary

Facilitymedian $229 · 10th to 90th $195 to $389Professionalmedian $204 · 10th to 90th $102 to $490
$100$200$500$1Kfacility $229professional $204

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
$141.25
Median
$141.25
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$389.05
Typical High
$489.78
Medica
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$229.09
Typical High
$229.09
Medica
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$181.97
Typical High
$371.54
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$120.23
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17

Where South Dakota sits

The same service costs 3.8 times more in Alaska than in Delaware. 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.

South Dakota· 11th of 51

$229

AK $457DE $120

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.