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Genetic Marker Analysis, Blood Or Tissue

Indiana 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?

$148

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $174 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 4 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$141$110 to $141
FacilityA hospital or hospital-owned outpatient department$174$174 to $347

How much rates vary

Facilitymedian $174 · 10th to 90th $170 to $513Professionalmedian $141 · 10th to 90th $74 to $166
$100$200$500$1Kfacility $174professional $141

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
$199.53
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$158.49
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$208.93

Where Indiana 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.

Indiana· 38th of 51

$148

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.