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Genetic Marker Analysis, Blood Or Tissue

North Dakota 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?

$263

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $132 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 5 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$288$162 to $347
FacilityA hospital or hospital-owned outpatient department$132$120 to $162

How much rates vary

Facilitymedian $132 · 10th to 90th $120 to $309Professionalmedian $288 · 10th to 90th $120 to $398
$100.0$200.0$500.0$1.0Kfacility $132professional $288

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
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$218.78
Typical High
$346.74
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
$72.44
Median
$181.97
Typical High
$263.03

Where North Dakota 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.

North Dakota $263 · 5th 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.