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Genetic Test For A Leukemia-Related Chromosome Change

Pennsylvania 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?

$138

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $309 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 12 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$132$129 to $166
FacilityA hospital or hospital-owned outpatient department$309$195 to $457

How much rates vary

Facilitymedian $309 · 10th to 90th $138 to $912Professionalmedian $132 · 10th to 90th $98 to $263
$100$200$500$1K$2K$5Kfacility $309professional $132

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
$131.83
Median
$213.80
Typical High
$478.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$131.83
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$66.07
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$26.30
Typical High
$28.18
Ambetter
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$371.54
Typical High
$1,202.26
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,122.02
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$128.82
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$269.15
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$186.21
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$213.80
Typical High
$213.80
Geisinger
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Geisinger
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$251.19
Typical High
$416.87
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$346.74
Typical High
$645.65
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$354.81
Typical High
$776.25
Independence Blue Cross
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$213.80
Typical High
$562.34
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$131.83
Typical High
$138.04
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$66.07
Median
$66.07
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$26.30
Typical High
$28.18
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$251.19
Typical High
$407.38
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$245.47
Typical High
$245.47
United
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$162.18
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$97.72
Typical High
$229.09

Where Pennsylvania 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.

Pennsylvania· 36th of 51

$138

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.