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Genetic Test For A Gene Linked To Sickle Cell Disease

North Dakota 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?

$427

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $324 to $550.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $229 to $490Professionalmedian $468 · 10th to 90th $166 to $646
$100$200$500facility $229professional $468

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$302.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$302.00
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$549.54
Typical High
$645.65
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$446.68
Median
$660.69
Typical High
$776.25
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$74.13
Median
$109.65
Typical High
$128.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$588.84
Medica
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$229.09
Typical High
$676.08
Medica
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$389.05
Typical High
$549.54
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$363.08
Typical High
$467.74

Where North Dakota 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.

North Dakota· 7th of 51

$427

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.