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Genetic Test For A Leukemia-Related Chromosome Change

North Carolina 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?

$166

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $331 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$145$132 to $191
FacilityA hospital or hospital-owned outpatient department$331$135 to $437

How much rates vary

Facilitymedian $331 · 10th to 90th $93 to $550Professionalmedian $145 · 10th to 90th $98 to $229
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $331professional $145

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
$93.33
Median
$331.13
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$165.96
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$354.81
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$223.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$281.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$245.47
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,230.27

Where North Carolina 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.

North Carolina $166 · 20th 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.