Genetic Test For A Gene Linked To Sickle Cell Disease

Delaware 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?

$209

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $245 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$195	$151 to $269
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$245	$209 to $589

How much rates vary

Facilitymedian $245 · 10th to 90th $105 to $1,585Professionalmedian $195 · 10th to 90th $135 to $468

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15	Facility	None	$269.15	$269.15	$269.15
Aetna Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $275.42	Professional	None	$218.78	$269.15	$275.42
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $588.84	Facility	None	$208.93	$208.93	$588.84
Cigna Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $467.74	Professional	None	$138.04	$177.83	$467.74
Highmark BCBS Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $1,584.89	Facility	None	$104.71	$245.47	$1,584.89
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $489.78	Professional	None	$134.90	$194.98	$489.78

Where Delaware 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.

Delaware· 50th of 51

$209

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.