go back

Genetic Test For A Gene Linked To Sickle Cell Disease

South Dakota 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?

$372

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $617 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 6 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$219 to $646
FacilityA hospital or hospital-owned outpatient department$617$603 to $617

How much rates vary

Facilitymedian $617 · 10th to 90th $372 to $617Professionalmedian $324 · 10th to 90th $195 to $776
$200$500$1K$2K$5Kfacility $617professional $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
$229.09
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59

Where South Dakota 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.

South Dakota· 12th of 51

$372

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.