go back

Genetic Test For A Leukemia-Related Chromosome Change

Maryland 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 October 2026.

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

$123

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $110 to $135.

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.

How much rates vary

Facilitymedian $195 · 10th to 90th $120 to $240Professionalmedian $123 · 10th to 90th $91 to $174
$100$200$500facility $195professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$194.98
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$123.03
Typical High
$138.04
CareFirst
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$128.82
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$194.98
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$93.33
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$61.66
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$24.55
Typical High
$26.30

Where Maryland sits

The same service costs 3.8 times more in Alaska than in Connecticut. 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.

Maryland· 47th of 51

$123

AK $372CT $97.72

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.