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Genetic Test For A Gene Linked To Sickle Cell Disease

Ohio 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?

$257

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $447 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$135 to $309
FacilityA hospital or hospital-owned outpatient department$447$339 to $603

How much rates vary

Facilitymedian $447 · 10th to 90th $295 to $891Professionalmedian $195 · 10th to 90th $129 to $617
$100$200$500$1Kfacility $447professional $195

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
$338.84
Median
$724.44
Typical High
$954.99
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$302.00
Typical High
$407.38
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$120.23
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$302.00
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$128.82
Median
$128.82
Typical High
$467.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$52.48
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$380.19
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$436.52
CareSource
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$389.05
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$457.09
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$407.38
Typical High
$1,318.26
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$426.58
Molina
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$398.11
SummaCare
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$398.11
Typical High
$512.86
United
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$295.12
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$194.98
Typical High
$467.74

Where Ohio 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.

Ohio· 41st of 51

$257

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.