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Genetic Test For A Gene Linked To Sickle Cell Disease

New York 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?

$324

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $562 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 10 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$263$178 to $380
FacilityA hospital or hospital-owned outpatient department$562$324 to $776

How much rates vary

Facilitymedian $562 · 10th to 90th $257 to $977Professionalmedian $263 · 10th to 90th $129 to $631
$200$500$1K$2Kfacility $562professional $263

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
$251.19
Median
$562.34
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$630.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$323.59
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$691.83
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$1,380.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$616.60
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$575.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$426.58
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$275.42
Typical High
$616.60
Univera
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$346.74
Univera
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$645.65

Where New York 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 York· 17th of 51

$324

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.