go back

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.

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

$234

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $275 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$200 to $468
FacilityA hospital or hospital-owned outpatient department$275$214 to $513

How much rates vary

Facilitymedian $275 · 10th to 90th $204 to $1,148Professionalmedian $214 · 10th to 90th $85 to $1,148
$100.0$1.0K$10.0K$100.0Kfacility $275professional $214

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Montana sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $234 · 7th of 51
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.