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Genetic Test For A Leukemia-Related Chromosome Change

New York 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 New York, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $295 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 10 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$132$97.72 to $214
FacilityA hospital or hospital-owned outpatient department$295$174 to $447

How much rates vary

Facilitymedian $295 · 10th to 90th $138 to $501Professionalmedian $132 · 10th to 90th $81 to $295
$100.0$1.0K$10.0K$100.0Kfacility $295professional $132

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
$138.04
Median
$316.23
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$346.74
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$162.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$354.81
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$234.42
Typical High
$794.33
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$162.18
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$309.03
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$162.18
Typical High
$213.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$323.59
Typical High
$616.60
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$257.04
Typical High
$851.14
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$162.18
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$147.91
Typical High
$263.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$194.98
Univera
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$162.18
Typical High
$512.86

Where New York 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.

New York $162 · 25th 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.