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Genetic Marker Analysis, Blood Or Tissue

Iowa 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?

$174

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $275 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$151$132 to $331
FacilityA hospital or hospital-owned outpatient department$275$174 to $457

How much rates vary

Facilitymedian $275 · 10th to 90th $132 to $501Professionalmedian $151 · 10th to 90th $112 to $1,148
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $275professional $151

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
$131.83
Median
$407.38
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$416.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$457.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$229.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$186.21
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$436.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78

Where Iowa sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $174 · 26th of 51
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.