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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 October 2026.

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

$138

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $380 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$85.11 to $178
FacilityA hospital or hospital-owned outpatient department$380$191 to $562

How much rates vary

Facilitymedian $380 · 10th to 90th $110 to $759Professionalmedian $115 · 10th to 90th $72 to $871
$100$200$500$1Kfacility $380professional $115

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
$131.83
Median
$549.54
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$57.54
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$22.91
Typical High
$25.70
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$501.19
Typical High
$758.58
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$169.82
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$338.84
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$165.96
Typical High
$676.08
Medica
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$138.04
Typical High
$302.00
Medica
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$85.11
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$85.11
Typical High
$104.71

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· 45th 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.