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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 July 2026.

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

$389

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $1,047 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$245$195 to $389
FacilityA hospital or hospital-owned outpatient department$1,047$490 to $2,188

How much rates vary

Facilitymedian $1,047 · 10th to 90th $295 to $2,754Professionalmedian $245 · 10th to 90th $135 to $2,138
$200$1K$5K$20Kfacility $1,047professional $245

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
$489.78
Median
$977.24
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,737.80
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$331.13
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$295.12
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$257.04

Where New Mexico 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 Mexico· 10th of 51

$389

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.