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Genetic Test For A Gene Linked To Sickle Cell Disease

Illinois 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?

$269

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $513 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 5 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$251$195 to $295
FacilityA hospital or hospital-owned outpatient department$513$331 to $661

How much rates vary

Facilitymedian $513 · 10th to 90th $282 to $891Professionalmedian $251 · 10th to 90th $3 to $550
$10$100$1Kfacility $513professional $251

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
$512.86
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,148.15
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$223.87
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$398.11
Typical High
$549.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$1,318.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$331.13

Where Illinois 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.

Illinois· 40th of 51

$269

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.