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Genetic Test For A Gene Linked To Sickle Cell Disease

Tennessee 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?

$324

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $195 to $676.

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.

How much rates vary

Facilitymedian $661 · 10th to 90th $245 to $832Professionalmedian $288 · 10th to 90th $148 to $2,455
$200$500$1K$2Kfacility $661professional $288

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
$245.47
Median
$257.04
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$257.04
Typical High
$331.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$128.82
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$51.29
Typical High
$74.13
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$660.69
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$173.78
Typical High
$446.68
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$194.98
Typical High
$331.13

Where Tennessee 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.

Tennessee· 25th of 51

$324

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.