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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 October 2026.

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

$120

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $1,380 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$107 to $120
FacilityA hospital or hospital-owned outpatient department$1,380$269 to $15,488

How much rates vary

Facilitymedian $1,380 · 10th to 90th $135 to $21,878Professionalmedian $120 · 10th to 90th $91 to $174
$100$500$2K$10Kfacility $1,380professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$53.70
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$21.38
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$478.63
Typical High
$831.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$190.55
Typical High
$416.87
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$223.87
Typical High
$251.19
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$177.83

Where New Jersey sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 50th of 51

$120

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.