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Genetic Marker Analysis, Blood Or Tissue

Alabama 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 October 2026.

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

$174

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $174 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$85.11 to $200
FacilityA hospital or hospital-owned outpatient department$174$174 to $174

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $174Professionalmedian $123 · 10th to 90th $72 to $200
$100$200$500facility $174professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$269.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$39.81
Typical High
$39.81
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31
Typical Low
$104.71
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$144.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$89.13
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$154.88
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$123.03

Where Alabama sits

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.

Alabama· 26th of 51

$174

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.