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Genetic Marker Analysis, Blood Or Tissue

Nevada 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?

$145

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $269 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 6 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$135$97.72 to $200
FacilityA hospital or hospital-owned outpatient department$269$145 to $933

How much rates vary

Facilitymedian $269 · 10th to 90th $135 to $933Professionalmedian $135 · 10th to 90th $74 to $339
$50$100$200$500$1Kfacility $269professional $135

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
$134.90
Median
$331.13
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$144.54
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$208.93
Typical High
$251.19
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$263.03
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$104.71
Typical High
$204.17

Where Nevada 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.

Nevada· 41st of 51

$145

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.