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Genetic Marker Analysis, Blood Or Tissue

Nationwide rates for HCPCS 81264

This service is a laboratory test that analyzes a blood or tissue sample for a specific genetic marker to detect an abnormal clonal population of cells - a group of cells that all arose from a single abnormal cell - which can be a sign of certain cancers. Results help a doctor diagnose or monitor conditions such as blood cancers. The sample is processed in a specialized genetics laboratory.

Rates data updated July 2026.

How much does Genetic Marker Analysis, Blood Or Tissue cost?

$174

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $288 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 67 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$148$123 to $200
FacilityA hospital or hospital-owned outpatient department$288$174 to $490

How much rates vary

Facilitymedian $288 · 10th to 90th $145 to $794Professionalmedian $148 · 10th to 90th $85 to $347
$5$20$100$500facility $288professional $148

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
$141.25
Median
$302.00
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$346.74
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$263.03

What it costs in each state

The same service costs 3.4 times more in Alaska than in Delaware. 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.

Touch or drag across the chart to see any state's rate.

AK $389DE $115

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.