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Genetic Marker Analysis, Blood Or Tissue

Washington, DC 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?

$145

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $129 to $200.

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.

How much rates vary

Facilitymedian $295 · 10th to 90th $129 to $661Professionalmedian $141 · 10th to 90th $91 to $372
$100$200$500$1Kfacility $295professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
CareFirst
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$154.88
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$295.12
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$218.78
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$354.81
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$208.93

Where Washington, DC 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.

Washington, DC· 39th of 51

$145

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.