go back

Genetic Test For A Leukemia-Related Chromosome Change

New Jersey 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?

$115

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $794 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$97.72 to $123
FacilityA hospital or hospital-owned outpatient department$794$234 to $10,471

How much rates vary

Facilitymedian $794 · 10th to 90th $148 to $19,953Professionalmedian $115 · 10th to 90th $95 to $178
$100$500$2K$10Kfacility $794professional $115

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$48.98
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.50
Median
$19.50
Typical High
$29.51
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$851.14
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$457.09
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$190.55
Typical High
$457.09
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$213.80
Typical High
$239.88
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$97.72
Typical High
$165.96

Where New Jersey 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.

New Jersey· 50th of 51

$115

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.