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Genetic Test For A Leukemia-Related Chromosome Change

Maine 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 Maine, 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 $263 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 6 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$132 to $162
FacilityA hospital or hospital-owned outpatient department$263$162 to $407

How much rates vary

Facilitymedian $263 · 10th to 90th $162 to $447Professionalmedian $162 · 10th to 90th $98 to $195
$100.0$200.0$500.0$1.0Kfacility $263professional $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
$162.18
Median
$263.03
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$407.38
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$165.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$194.98
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$741.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$338.84

Where Maine 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.

Maine $162 · 29th 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.