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Genetic Test For A Gene Linked To Sickle Cell Disease

Montana 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?

$407

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $490 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$372$324 to $562
FacilityA hospital or hospital-owned outpatient department$490$407 to $955

How much rates vary

Facilitymedian $490 · 10th to 90th $324 to $1,995Professionalmedian $372 · 10th to 90th $155 to $2,138
$200$1K$5K$20K$100Kfacility $490professional $372

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
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,995.26
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$467.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$977.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$323.59

Where Montana 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.

Montana· 7th of 51

$407

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.