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Genetic Marker Analysis, Blood Or Tissue

Colorado 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?

$186

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $417 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 7 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$132$110 to $141
FacilityA hospital or hospital-owned outpatient department$417$229 to $724

How much rates vary

Facilitymedian $417 · 10th to 90th $132 to $871Professionalmedian $132 · 10th to 90th $72 to $186
$100$200$500$1Kfacility $417professional $132

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
$109.65
Median
$380.19
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$512.86
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$251.19
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$104.71

Where Colorado 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.

Colorado· 16th of 51

$186

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.