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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 October 2026.

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

$191

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $1,047 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$85.11 to $204
FacilityA hospital or hospital-owned outpatient department$1,047$490 to $1,318

How much rates vary

Facilitymedian $1,047 · 10th to 90th $155 to $1,660Professionalmedian $85 · 10th to 90th $72 to $251
$100$200$500$1Kfacility $1,047professional $85

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
$128.82
Median
$549.54
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$208.93
Typical High
$208.93
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$1,096.48
Typical High
$1,698.24
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$154.88
Typical High
$389.05
Molina
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Providence
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Providence
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$229.09
Typical High
$251.19
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
$85.11
Typical High
$104.71

Where New Mexico 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 Mexico· 19th of 51

$191

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.