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Genetic Test For A Gene Linked To Sickle Cell Disease

Rhode Island 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?

$240

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $479 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 4 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$240$229 to $245
FacilityA hospital or hospital-owned outpatient department$479$372 to $1,479

How much rates vary

Facilitymedian $479 · 10th to 90th $324 to $1,862Professionalmedian $240 · 10th to 90th $195 to $324
$200$500$1Kfacility $479professional $240

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$467.74

Where Rhode Island 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.

Rhode Island· 49th of 51

$240

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.