Genetic Marker Analysis, Blood Or Tissue

Delaware 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?

$115

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $158 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$115	$85.11 to $145
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$158	$145 to $339

How much rates vary

Facilitymedian $158 · 10th to 90th $112 to $1,259Professionalmedian $115 · 10th to 90th $72 to $282

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54	Facility	None	$144.54	$144.54	$144.54
Aetna Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $144.54	Professional	None	$107.15	$144.54	$144.54
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $338.84	Facility	None	$112.20	$112.20	$338.84
Cigna Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $831.76	Professional	None	$104.71	$114.82	$831.76
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $1,258.93	Facility	None	$158.49	$158.49	$1,258.93
United Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $257.04	Professional	None	$72.44	$104.71	$257.04

Where Delaware 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.

Delaware· 51st of 51

$115

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.