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Genetic Marker Analysis, Blood Or Tissue

New Hampshire 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 $437 · 10th–90th $240$1,0000%10%20%10th90th$437Professionalmedian $174 · 10th–90th $112$3240%20%40%10th90th$174$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$630.96
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$724.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$331.13
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
$104.71
Median
$173.78
Typical High
$478.63