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Genetic Test For A Gene Linked To Sickle Cell Disease

North Carolina 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?

$288

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $468 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$257 to $389
FacilityA hospital or hospital-owned outpatient department$468$282 to $631

How much rates vary

Facilitymedian $468 · 10th to 90th $257 to $1,000Professionalmedian $269 · 10th to 90th $209 to $525
$200$500$1Kfacility $468professional $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
$257.04
Median
$467.74
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$707.95
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$346.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,454.71

Where North Carolina 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.

North Carolina· 32nd of 51

$288

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.