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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 July 2026.

How much does Genetic Marker Analysis, Blood Or Tissue cost?

$209

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $148 to $263.

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.

How much rates vary

Facilitymedian $170 · 10th to 90th $141 to $209Professionalmedian $214 · 10th to 90th $123 to $309
$200$500facility $170professional $214

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
$141.25
Median
$169.82
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
HMSA
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$204.17
Typical High
$257.04
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$389.05

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· 10th 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.