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Genetic Test For A Gene Linked To Sickle Cell Disease

Iowa 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?

$324

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $490 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$316$251 to $589
FacilityA hospital or hospital-owned outpatient department$490$324 to $776

How much rates vary

Facilitymedian $490 · 10th to 90th $251 to $933Professionalmedian $316 · 10th to 90th $195 to $2,138
$200$500$1K$2Kfacility $490professional $316

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
$251.19
Median
$676.08
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$776.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$588.84
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$426.58
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59

Where Iowa 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.

Iowa· 24th of 51

$324

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.