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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 October 2026.

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

$269

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $195 to $398.

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 $427 · 10th to 90th $316 to $1,995Professionalmedian $209 · 10th to 90th $162 to $457
$200$500$1K$2Kfacility $427professional $209

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$263.03
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$426.58
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$194.98
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$331.13
Typical High
$346.74
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$323.59
Typical High
$562.34
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$562.34

Where Maine 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.

Maine· 37th of 51

$269

AK $724AL $174

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.