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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 October 2026.

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

$229

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $4,571 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$178 to $229
FacilityA hospital or hospital-owned outpatient department$4,571$708 to $16,218

How much rates vary

Facilitymedian $4,571 · 10th to 90th $339 to $21,878Professionalmedian $229 · 10th to 90th $174 to $389
$100$500$2K$10Kfacility $4,571professional $229

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
Facility
Modifier
None
Typical Low
$173.78
Median
$338.84
Typical High
$537.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$275.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$85.11
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$34.67
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$912.01
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$389.05
Typical High
$691.83
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$426.58
Typical High
$467.74
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$14,791.08
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$194.98
Typical High
$323.59

Where New Jersey 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.

New Jersey· 47th of 51

$229

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.