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Genetic Marker Analysis, Blood Or Tissue

Massachusetts 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 $363 · 10th–90th $141$5890%10%10th90th$363Professionalmedian $174 · 10th–90th $123$4270%20%40%10th90th$174$100.0$500.0$2.0K$10.0K$50.0K

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
$398.11
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$512.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$562.34
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$446.68
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$295.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$316.23
Health New England
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$199.53
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$562.34
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$389.05