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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.

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

$148

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $427 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$138$115 to $170
FacilityA hospital or hospital-owned outpatient department$427$219 to $1,047

How much rates vary

Facilitymedian $427 · 10th to 90th $138 to $4,571Professionalmedian $138 · 10th to 90th $107 to $200
$100$500$2K$10Kfacility $427professional $138

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
$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

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· 39th of 51

$148

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.