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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.

Facilitymedian $170 · 10th–90th $141$2090%20%40%10th90th$170Professionalmedian $214 · 10th–90th $123$3090%10%20%10th90th$214$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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