go back

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 October 2026.

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

$141

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $105 to $209.

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 $229 · 10th to 90th $166 to $2,630Professionalmedian $105 · 10th to 90th $69 to $204
$100$200$500$1K$2Kfacility $229professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$141.25
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$229.09
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$87.10
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$173.78
Typical High
$173.78
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$173.78
Typical High
$354.81
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$123.03
Typical High
$354.81

Where Maine 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.

Maine· 42nd of 51

$141

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.