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Genetic Marker Test for a Blood Cancer

Rhode Island 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?

$138

Typical negotiated rate. In Rhode Island, July 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 $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 4 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$87.10 to $138
FacilityA hospital or hospital-owned outpatient department$295$186 to $437

How much rates vary

Facilitymedian $295 · 10th to 90th $170 to $603Professionalmedian $132 · 10th to 90th $87 to $145
$100.0$200.0$500.0facility $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
$199.53
Median
$316.23
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$117.49
Typical High
$288.40

Where Rhode Island 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.

Rhode Island $138 · 34th 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.