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Genetic Marker Test for a Blood Cancer

North Carolina rates for HCPCS 81207

This is a molecular test performed on a blood or bone marrow sample that looks for a specific genetic marker associated with a type of blood cancer, most often chronic myeloid leukemia. It helps confirm a diagnosis and can be used to track how well treatment is working over time.

Rates data updated July 2026.

How much does Genetic Marker Test for a Blood Cancer cost?

$145

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $214 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$129$115 to $200
FacilityA hospital or hospital-owned outpatient department$214$120 to $427

How much rates vary

Facilitymedian $214 · 10th to 90th $102 to $479Professionalmedian $129 · 10th to 90th $83 to $562
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $214professional $129

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
$77.62
Median
$213.80
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$199.53
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$316.23
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$199.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$199.53
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,096.48

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 $145 · 22nd of 51
AK $324DC $110

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.