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Genetic Marker Analysis, Blood Or Tissue

New Jersey 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 $427 · 10th–90th $138$4,5710%10%10th90th$427Professionalmedian $138 · 10th–90th $107$2000%20%10th90th$138$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
Facility
Modifier
Global
Typical Low
$138.04
Median
$549.54
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$309.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$331.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$204.17