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Genetic Test For A Gene Linked To Sickle Cell Disease

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $427 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$282$195 to $380
FacilityA hospital or hospital-owned outpatient department$427$324 to $562

How much rates vary

Facilitymedian $427 · 10th to 90th $282 to $759Professionalmedian $282 · 10th to 90th $129 to $631
$200$500$1Kfacility $427professional $282

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
$281.84
Median
$549.54
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$281.84
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$630.96
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$323.59
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$436.52

Where Missouri 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.

Missouri· 26th 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.