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Genetic Marker Analysis, Blood Or Tissue

Arkansas 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?

$195

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $195 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$148$123 to $214
FacilityA hospital or hospital-owned outpatient department$195$195 to $257

How much rates vary

Facilitymedian $195 · 10th to 90th $174 to $269Professionalmedian $148 · 10th to 90th $105 to $234
$100$200facility $195professional $148

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
$234.42
Median
$234.42
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$234.42
Typical High
$234.42
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$223.87
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$104.71
Typical High
$257.04
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$204.17
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$46.77
Typical High
$46.77

Where Arkansas 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.

Arkansas· 17th of 51

$195

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.