go back

Genetic Test For A Gene Linked To Sickle Cell Disease

Vermont 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?

$398

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $389 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$398$229 to $398
FacilityA hospital or hospital-owned outpatient department$389$389 to $447

How much rates vary

Facilitymedian $389 · 10th to 90th $324 to $550Professionalmedian $398 · 10th to 90th $229 to $398
$200$500facility $389professional $398

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$380.19
Typical High
$489.78
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$707.95

Where Vermont 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.

Vermont· 9th of 51

$398

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.