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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.

Facilitymedian $288 · 10th–90th $145$7940%10%10th90th$288Professionalmedian $148 · 10th–90th $85$3470%20%10th90th$148$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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