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Genetic Marker Analysis, Blood Or Tissue

Hawaii 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?

$209

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $204 to $240.

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

Professionalmedian $209 · 10th to 90th $182 to $295
$200$500professional $209

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
HMSA
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$213.80
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$257.04
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$204.17
Typical High
$323.59

Where Hawaii 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.

Hawaii· 13th of 51

$209

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.