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Genetic Marker Analysis, Blood Or Tissue

Florida 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?

$141

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $316 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 8 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$123 to $155
FacilityA hospital or hospital-owned outpatient department$316$174 to $501

How much rates vary

Facilitymedian $316 · 10th to 90th $148 to $724Professionalmedian $132 · 10th to 90th $105 to $204
$10$20$50$100$200$500$1Kfacility $316professional $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
$147.91
Median
$416.87
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
AvMed
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$204.17
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$309.03
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$234.42
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$173.78

Where Florida 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.

Florida· 44th of 51

$141

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.