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Genetic Marker Analysis, Blood Or Tissue

Georgia 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?

$162

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $229 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 6 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$148$115 to $200
FacilityA hospital or hospital-owned outpatient department$229$155 to $275

How much rates vary

Facilitymedian $229 · 10th to 90th $135 to $372Professionalmedian $148 · 10th to 90th $78 to $316
$100$200$500facility $229professional $148

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
$138.04
Median
$275.42
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$181.97
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$380.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$223.87

Where Georgia 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.

Georgia· 33rd of 51

$162

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.