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Genetic Marker Analysis, Blood Or Tissue

Arizona 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?

$138

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $339 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 5 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$129$115 to $148
FacilityA hospital or hospital-owned outpatient department$339$219 to $676

How much rates vary

Facilitymedian $339 · 10th to 90th $132 to $741Professionalmedian $129 · 10th to 90th $85 to $200
$100$200$500$1Kfacility $339professional $129

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
$245.47
Median
$338.84
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$501.19
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$169.82
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$173.78

Where Arizona 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.

Arizona· 47th of 51

$138

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.