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Genetic Test For A Gene Linked To Sickle Cell Disease

Utah 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?

$295

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $977 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$295$275 to $295
FacilityA hospital or hospital-owned outpatient department$977$372 to $1,585

How much rates vary

Facilitymedian $977 · 10th to 90th $295 to $2,042Professionalmedian $295 · 10th to 90th $148 to $389
$200.0$500.0$1.0K$2.0Kfacility $977professional $295

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
$295.12
Median
$1,584.89
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$338.84
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,318.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$288.40
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$323.59

Where Utah 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.

Utah $295 · 31st 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.