go back

Genetic Marker Analysis, Blood Or Tissue

Kansas 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?

$182

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $302 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 5 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$166$129 to $245
FacilityA hospital or hospital-owned outpatient department$302$186 to $372

How much rates vary

Facilitymedian $302 · 10th to 90th $166 to $407Professionalmedian $166 · 10th to 90th $115 to $245
$100$200$500$1Kfacility $302professional $166

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
$181.97
Median
$302.00
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$316.23
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$165.96
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$275.42

Where Kansas 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.

Kansas· 18th of 51

$182

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.