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Genetic Test For A Gene Linked To Sickle Cell Disease

Maine 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 Maine, 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 $525 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 6 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$263 to $324
FacilityA hospital or hospital-owned outpatient department$525$324 to $1,445

How much rates vary

Facilitymedian $525 · 10th to 90th $324 to $2,089Professionalmedian $324 · 10th to 90th $195 to $389
$200$500$1K$2Kfacility $525professional $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
$323.59
Median
$323.59
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$2,089.30
Typical High
$2,238.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$398.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$389.05
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$501.19

Where Maine 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.

Maine· 25th 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.