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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.

Facilitymedian $275 · 10th–90th $132$5010%10%10th90th$275Professionalmedian $151 · 10th–90th $112$1,1480%10%10th90th$151$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$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