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Genetic Test For A Gene Linked To Sickle Cell Disease

Arkansas rates for HCPCS 81364

A genetic blood test that examines the gene associated with sickle cell disease and beta thalassemia, two inherited conditions affecting red blood cells and the hemoglobin they carry. It looks for a change in this gene that can cause or contribute to these conditions. It may be used to confirm a diagnosis, guide family planning, or evaluate a newborn or family member of someone already diagnosed.

Rates data updated October 2026.

How much does Genetic Test For A Gene Linked To Sickle Cell Disease cost?

$363

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $363 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$195 to $490
FacilityA hospital or hospital-owned outpatient department$363$363 to $479

How much rates vary

Facilitymedian $363 · 10th to 90th $363 to $501Professionalmedian $295 · 10th to 90th $162 to $490
$200$500facility $363professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$407.38
Typical High
$407.38
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$489.78
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$169.82
Typical High
$457.09
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$194.98
Typical High
$331.13
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$128.82
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$81.28
Typical High
$81.28

Where Arkansas sits

The same service costs 4.2 times more in Alaska than in Alabama. 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.

Arkansas· 14th of 51

$363

AK $724AL $174

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.