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Genetic Marker Analysis, Blood Or Tissue

New Mexico 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 $661 · 10th–90th $174$1,7380%10%10th90th$661Professionalmedian $129 · 10th–90th $85$1,1480%20%10th90th$129$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
$257.04
Median
$512.86
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,148.15
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$223.87
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$162.18