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Genetic Marker Analysis, Blood Or Tissue

Michigan 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?

$166

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $166 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$129 to $191
FacilityA hospital or hospital-owned outpatient department$166$162 to $224

How much rates vary

Facilitymedian $166 · 10th to 90th $129 to $331Professionalmedian $166 · 10th to 90th $123 to $224
$10$20$50$100$200$500facility $166professional $166

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
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$257.04
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$128.82
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$169.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$85.11
Typical High
$87.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$33.88
Typical High
$34.67
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$181.97
Typical High
$323.59
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$123.03
Typical High
$263.03
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$562.34
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$128.82
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$51.29
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$190.55
Typical High
$251.19
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Priority Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$173.78
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$154.88
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$123.03
Typical High
$204.17

Where Michigan 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.

Michigan· 32nd of 51

$166

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.