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Genetic Test For A Leukemia-Related Chromosome Change

South Dakota 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?

$224

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $316 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 7 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$126 to $398
FacilityA hospital or hospital-owned outpatient department$316$316 to $468

How much rates vary

Facilitymedian $316 · 10th to 90th $186 to $550Professionalmedian $162 · 10th to 90th $112 to $447
$100$200$500facility $316professional $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
$186.21
Median
$537.03
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$446.68
Avera
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$245.47
Avera
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$812.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where South Dakota sits

The same service costs 3.0 times more in Alaska than in Washington, DC. 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.

South Dakota· 6th of 51

$224

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.