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Genetic Test For A Gene Linked To Sickle Cell Disease

New Mexico 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?

$355

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,514 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$316$135 to $427
FacilityA hospital or hospital-owned outpatient department$1,514$776 to $2,188

How much rates vary

Facilitymedian $1,514 · 10th to 90th $295 to $2,692Professionalmedian $316 · 10th to 90th $135 to $468
$100$200$500$1K$2Kfacility $1,514professional $316

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
$245.47
Median
$1,047.13
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$389.05
Typical High
$446.68
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$1,737.80
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$363.08
Typical High
$537.03
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$524.81
Providence
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Providence
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$426.58
Typical High
$537.03
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
$134.90
Typical High
$194.98

Where New Mexico 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 Mexico· 16th of 51

$355

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.