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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 July 2026.

How much does Genetic Test For A Gene Linked To Sickle Cell Disease cost?

$245

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $195 to $275.

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

Facilitymedian $245 · 10th to 90th $135 to $1,175Professionalmedian $245 · 10th to 90th $145 to $437
$200$500$1K$2Kfacility $245professional $245

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Maryland 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.

Maryland· 48th of 51

$245

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.