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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 July 2026.

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

$324

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $355 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$324$275 to $457
FacilityA hospital or hospital-owned outpatient department$355$324 to $661

How much rates vary

Facilitymedian $355 · 10th to 90th $324 to $1,230Professionalmedian $324 · 10th to 90th $195 to $631
$100.0$200.0$500.0$1.0K$2.0Kfacility $355professional $324

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
$426.58
Median
$912.01
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$354.81
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$851.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$446.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$457.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$660.69
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$489.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$977.24
Typical High
$1,288.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$389.05

Where Oregon sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $324 · 27th of 51
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.