CPT 81364 Pathology/Laboratory

How Much Does Gene Analysis (hemoglobin, Subunit Beta) Full Sequence Analysis Cost?

Also known as: Gene analysis (hemoglobin, subunit beta) full sequence analysis (CPT 81364)

Gene Analysis (hemoglobin, Subunit Beta) Full Sequence Analysis (CPT 81364) costs $325 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$325
CMS PFS 2026 national rate

Procedures Commonly Done Together

These procedures are frequently performed alongside Gene analysis (hemoglobin, subunit beta) full sequence analysis

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How to Reduce Your Cost for Gene analysis (hemoglobin, subunit beta) full sequence analysis

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does Gene analysis (hemoglobin, subunit beta) full sequence analysis cost?

The Medicare facility rate for Gene analysis (hemoglobin, subunit beta) full sequence analysis is $325. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Gene analysis (hemoglobin, subunit beta) full sequence analysis cost without insurance?

Without insurance, the cost of Gene analysis (hemoglobin, subunit beta) full sequence analysis can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Gene analysis (hemoglobin, subunit beta) full sequence analysis?

Most commercial health insurance plans and Medicare cover Gene analysis (hemoglobin, subunit beta) full sequence analysis when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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