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Genetic Test For A Leukemia-Related Chromosome Change

Massachusetts rates for HCPCS 81206

A blood or bone marrow sample is tested for a specific genetic rearrangement, commonly known as the Philadelphia chromosome, that is strongly associated with chronic myeloid leukemia, a type of blood cancer. The test can help confirm a diagnosis and is also used to monitor how well treatment is working over time.

Rates data updated July 2026.

How much does Genetic Test For A Leukemia-Related Chromosome Change cost?

$162

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $398 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 9 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$162$145 to $178
FacilityA hospital or hospital-owned outpatient department$398$224 to $501

How much rates vary

Facilitymedian $398 · 10th to 90th $155 to $646Professionalmedian $162 · 10th to 90th $102 to $427
$100.0$1.0K$10.0Kfacility $398professional $162

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
$154.88
Median
$380.19
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$489.78
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$562.34
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$426.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$316.23
Health New England
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$398.11
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$562.34
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$380.19

Where Massachusetts sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $162 · 26th of 51
AK $372DC $123

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.