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Genetic Test For A Gene Linked To Sickle Cell Disease

South Carolina 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?

$269

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $562 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 5 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$251 to $295
FacilityA hospital or hospital-owned outpatient department$562$295 to $1,047

How much rates vary

Facilitymedian $562 · 10th to 90th $251 to $1,380Professionalmedian $257 · 10th to 90th $195 to $447
$10.0$50.0$200.0$1.0Kfacility $562professional $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
$251.19
Median
$562.34
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$257.04
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$331.13

Where South Carolina 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.

South Carolina $269 · 39th 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.