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Genetic Marker Analysis, Blood Or Tissue

Maryland 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?

$129

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $123 to $148.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,047 · 10th to 90th $72 to $1,047Professionalmedian $129 · 10th to 90th $85 to $204
$100$200$500$1Kfacility $1,047professional $129

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$147.91
Typical High
$147.91

Where Maryland 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.

Maryland· 49th of 51

$129

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.