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Genetic Test For A Gene Linked To Sickle Cell Disease

Hawaii 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?

$407

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $331 to $479.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $324 · 10th to 90th $269 to $389Professionalmedian $427 · 10th to 90th $331 to $562
$200$500facility $324professional $427

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
$269.15
Median
$323.59
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$389.05
HMSA
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$389.05
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$478.63
Typical High
$724.44

Where Hawaii 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.

Hawaii· 4th of 51

$407

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.