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Genetic Test For A Gene Linked To Sickle Cell Disease

Washington, DC 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?

$245

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $234 to $269.

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.

How much rates vary

Facilitymedian $550 · 10th to 90th $245 to $1,230Professionalmedian $245 · 10th to 90th $145 to $562
$200$500$1K$2Kfacility $550professional $245

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$245.47
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$549.54
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$380.19
Typical High
$2,398.83
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$660.69
Typical High
$676.08
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$194.98
Typical High
$389.05

Where Washington, DC 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.

Washington, DC· 43rd of 51

$245

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.