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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.

How much does Genetic Marker Analysis, Blood Or Tissue cost?

$138

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $182 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$138$74.13 to $182
FacilityA hospital or hospital-owned outpatient department$182$141 to $224

How much rates vary

Facilitymedian $182 · 10th to 90th $141 to $417Professionalmedian $138 · 10th to 90th $74 to $288
$100$200$500facility $182professional $138

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
$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

Where Kentucky 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.

Kentucky· 48th of 51

$138

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.