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Genetic Test For A Gene Linked To Sickle Cell Disease

Idaho 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?

$331

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $550 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$331$302 to $447
FacilityA hospital or hospital-owned outpatient department$550$324 to $851

How much rates vary

Facilitymedian $550 · 10th to 90th $324 to $977Professionalmedian $331 · 10th to 90th $229 to $631
$200$500$1Kfacility $550professional $331

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
$588.84
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$676.08
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$537.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$1,174.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$338.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$426.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$323.59

Where Idaho 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.

Idaho· 16th of 51

$331

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.