go back

Genetic Test For A Gene Linked To Sickle Cell Disease

New Jersey 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?

$275

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $676 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 5 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$251$195 to $275
FacilityA hospital or hospital-owned outpatient department$676$427 to $1,479

How much rates vary

Facilitymedian $676 · 10th to 90th $324 to $3,236Professionalmedian $251 · 10th to 90th $174 to $389
$200$500$1K$2K$5K$10K$20Kfacility $676professional $251

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
$338.84
Median
$537.03
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$707.95
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$588.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$524.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$338.84

Where New Jersey 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.

New Jersey· 35th of 51

$275

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.