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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 October 2026.

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

$468

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $550 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$437$295 to $468
FacilityA hospital or hospital-owned outpatient department$550$490 to $603

How much rates vary

Facilitymedian $550 · 10th to 90th $437 to $741Professionalmedian $437 · 10th to 90th $135 to $589
$200$500$1K$2Kfacility $550professional $437

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
$371.54
Median
$371.54
Typical High
$371.54
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$1,995.26
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$549.54
Typical High
$645.65
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$549.54
Typical High
$588.84
Providence
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$323.59

Where Montana 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.

Montana· 4th of 51

$468

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.