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Genetic Test For A Gene Linked To Sickle Cell Disease

Michigan 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?

$309

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $309 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$269$214 to $309
FacilityA hospital or hospital-owned outpatient department$309$309 to $389

How much rates vary

Facilitymedian $309 · 10th to 90th $275 to $562Professionalmedian $269 · 10th to 90th $178 to $389
$200$500$1Kfacility $309professional $269

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
$275.42
Median
$309.03
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$446.68
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$758.58
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$436.52
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$323.59

Where Michigan 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.

Michigan· 30th of 51

$309

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.