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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.

Facilitymedian $174 · 10th–90th $170$5130%20%40%10th90th$174Professionalmedian $141 · 10th–90th $74$1660%20%40%10th90th$141$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
$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