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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 October 2026.

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

$309

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $309 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$229 to $324
FacilityA hospital or hospital-owned outpatient department$309$309 to $389

How much rates vary

Facilitymedian $309 · 10th to 90th $275 to $562Professionalmedian $302 · 10th to 90th $195 to $389
$200$500$1Kfacility $309professional $302

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
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$478.63
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$154.88
Typical High
$239.88
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$61.66
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$316.23
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$158.49
Typical High
$162.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$63.10
Typical High
$66.07
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$229.09
Typical High
$229.09
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$181.97
Typical High
$446.68
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$891.25
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$154.88
Typical High
$239.88
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$61.66
Typical High
$95.50
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$309.03
Typical High
$407.38
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Priority Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$181.97
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$295.12
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$194.98
Typical High
$323.59

Where Michigan 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.

Michigan· 29th of 51

$309

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.