Genetic Test For A Gene Linked To Sickle Cell Disease
Maryland 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 October 2026.
How much does Genetic Test For A Gene Linked To Sickle Cell Disease cost?
$240
Typical negotiated rate. In Maryland, October 2026.
Insurers have agreed to pay about $240 for this service. Most negotiated rates run $195 to $257.
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
Professionalmedian $240 · 10th to 90th $145 to $324
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$245.47
Typical High
$269.15
Professional
None
$208.93
$245.47
$269.15
CareFirst
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$257.04
Typical High
$257.04
Professional
None
$234.42
$257.04
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$933.25
Professional
None
$169.82
$229.09
$933.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$389.05
Typical High
$489.78
Professional
None
$323.59
$389.05
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$162.18
Typical High
$281.84
Professional
None
$134.90
$162.18
$281.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$257.04
Professional
None
$162.18
$162.18
$257.04
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$120.23
Median
$123.03
Typical High
$131.83
Professional
52 · Reduced service
$120.23
$123.03
$131.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$48.98
Typical High
$53.70
Professional
53 · Discontinued
$47.86
$48.98
$53.70
Where Maryland sits
The same service costs 4.2 times more in Alaska than in Alabama. 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.