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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 July 2026.

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

$282

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $457 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 8 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$257$174 to $324
FacilityA hospital or hospital-owned outpatient department$457$324 to $708

How much rates vary

Facilitymedian $457 · 10th to 90th $263 to $776Professionalmedian $257 · 10th to 90th $129 to $617
$200$500$1Kfacility $457professional $257

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
$257.04
Median
$549.54
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$338.84
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$645.65
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$1,819.70
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$354.81
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$446.68

Where Ohio 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.

Ohio· 33rd of 51

$282

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.