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Genetic Test For A Gene Linked To Sickle Cell Disease

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $646 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$324$251 to $331
FacilityA hospital or hospital-owned outpatient department$646$380 to $933

How much rates vary

Facilitymedian $646 · 10th to 90th $240 to $1,122Professionalmedian $324 · 10th to 90th $195 to $813
$200$500$1K$2Kfacility $646professional $324

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
$229.09
Median
$562.34
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$977.24
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$1,047.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$676.08
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,862.09
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$467.74
Typical High
$549.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$588.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$1,047.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$741.31

Where Massachusetts 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.

Massachusetts· 19th 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.