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Genetic Marker Analysis, Blood Or Tissue

Connecticut 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?

$174

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $269 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$135$110 to $372
FacilityA hospital or hospital-owned outpatient department$269$174 to $380

How much rates vary

Facilitymedian $269 · 10th to 90th $174 to $479Professionalmedian $135 · 10th to 90th $107 to $490
$50.0$100.0$200.0$500.0$1.0Kfacility $269professional $135

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
$173.78
Median
$245.47
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$269.15
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$426.58
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$371.54
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$295.12

Where Connecticut sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $174 · 27th of 51
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.