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Genetic Marker Analysis, Blood Or Tissue

Maine 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 $282 · 10th–90th $174$2,8840%20%10th90th$282Professionalmedian $174 · 10th–90th $105$2040%50%10th90th$174$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$173.78
Median
$173.78
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$2,884.03
Typical High
$3,162.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$173.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$208.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$776.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$295.12