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Genetic Test For A Gene Linked To Sickle Cell Disease

Virginia 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?

$275

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $347 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 8 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$245$155 to $275
FacilityA hospital or hospital-owned outpatient department$347$324 to $708

How much rates vary

Facilitymedian $347 · 10th to 90th $275 to $1,445Professionalmedian $245 · 10th to 90th $129 to $468
$10.0$100.0$1.0K$10.0Kfacility $347professional $245

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
$245.47
Median
$676.08
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$218.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$794.33
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$676.08
Sentara
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$371.54

Where Virginia 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.

Virginia $275 · 37th 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.