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Genetic Marker Analysis, Blood Or Tissue

Kentucky 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 $182 · 10th–90th $141$4170%20%10th90th$182Professionalmedian $138 · 10th–90th $74$2880%20%10th90th$138$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
$186.21
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$288.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$338.84
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$204.17