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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 July 2026.

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

$263

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $794 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$219 to $275
FacilityA hospital or hospital-owned outpatient department$794$372 to $1,288

How much rates vary

Facilitymedian $794 · 10th to 90th $251 to $1,479Professionalmedian $245 · 10th to 90th $151 to $447
$200$500$1K$2Kfacility $794professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,148.15
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$933.25
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$588.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$323.59

Where Arizona sits

The same service costs 3.3 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.

Arizona· 44th of 51

$263

AK $724DE $219

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.