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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 July 2026.

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

$174

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $200 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$135$115 to $200
FacilityA hospital or hospital-owned outpatient department$200$174 to $209

How much rates vary

Facilitymedian $200 · 10th to 90th $155 to $263Professionalmedian $135 · 10th to 90th $105 to $200
$100.0$200.0$500.0$1.0K$2.0Kfacility $200professional $135

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
$173.78
Median
$199.53
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$204.17

Where Alabama sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $174 · 20th of 51
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.