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Genetic Test For A Gene Linked To Sickle Cell Disease

Florida 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?

$234

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $537 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 8 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$229$195 to $269
FacilityA hospital or hospital-owned outpatient department$537$295 to $933

How much rates vary

Facilitymedian $537 · 10th to 90th $234 to $1,318Professionalmedian $229 · 10th to 90th $174 to $324
$10$20$50$100$200$500$1Kfacility $537professional $229

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
$245.47
Median
$537.03
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
AvMed
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$380.19
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$549.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$426.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$323.59

Where Florida 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.

Florida· 50th of 51

$234

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.