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Genetic Marker Analysis, Blood Or Tissue

California 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.

Facilitymedian $407 · 10th–90th $151$1,6980%5%10%10th90th$407Professionalmedian $174 · 10th–90th $100$9550%10%10th90th$174$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$1,621.81
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$436.52
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$380.19
Typical High
$707.95
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$512.86
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$309.03
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$537.03
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$363.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$512.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$512.86
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$389.05