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Genetic Marker Analysis, Blood Or Tissue

Illinois 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 $282 · 10th–90th $148$7940%10%10th90th$282Professionalmedian $135 · 10th–90th $3$3090%10%20%10th90th$135$5.0$20.0$100.0$500.0$2.0K

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
$141.25
Median
$281.84
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$645.65
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$120.23
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$229.09
Typical High
$295.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$457.09
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$204.17