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Genetic Test For A Gene Linked To Sickle Cell Disease

Arizona 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?

$275

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $708 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$135 to $324
FacilityA hospital or hospital-owned outpatient department$708$355 to $1,072

How much rates vary

Facilitymedian $708 · 10th to 90th $224 to $1,413Professionalmedian $219 · 10th to 90th $135 to $1,622
$200$500$1Kfacility $708professional $219

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
$251.19
Median
$1,047.13
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$275.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$109.65
Typical High
$123.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$43.65
Median
$43.65
Typical High
$48.98
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$933.25
Typical High
$1,412.54
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$323.59
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$630.96
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$208.93
Typical High
$489.78
Medica
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$263.03
Typical High
$562.34
Medica
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$1,621.81
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$194.98

Where Arizona 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.

Arizona· 36th of 51

$275

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.