go back

Genetic Marker Test for a Blood Cancer

Vermont 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?

$117

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $380 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 5 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$87.10$87.10 to $138
FacilityA hospital or hospital-owned outpatient department$380$240 to $437

How much rates vary

Facilitymedian $380 · 10th to 90th $145 to $437Professionalmedian $87 · 10th to 90th $87 to $178
$100$200facility $380professional $87

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$363.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$199.53
Typical High
$389.05

Where Vermont 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.

Vermont· 48th of 51

$117

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.