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Genetic Test For A Gene Linked To Sickle Cell Disease

Oregon 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 Oregon, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $525 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$324$275 to $389
FacilityA hospital or hospital-owned outpatient department$525$355 to $794

How much rates vary

Facilitymedian $525 · 10th to 90th $324 to $1,096Professionalmedian $324 · 10th to 90th $135 to $513
$200$500$1Kfacility $525professional $324

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
$812.83
Median
$812.83
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$446.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$891.25
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$354.81
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$794.33
Typical High
$851.14
Moda Health
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$1,445.44
Moda Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$323.59
Typical High
$446.68
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$363.08
Typical High
$660.69
Providence
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$524.81
Typical High
$954.99
Providence
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$354.81
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$275.42
Typical High
$389.05
United
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$489.78
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$389.05

Where Oregon 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.

Oregon· 15th 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.