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Genetic Marker Analysis, Blood Or Tissue

Montana 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 $275 · 10th–90th $204$1,1480%10%20%10th90th$275Professionalmedian $214 · 10th–90th $85$1,1480%20%10th90th$214$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
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,148.15
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$524.81
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$204.17