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Genetic Marker Analysis, Blood Or Tissue

Ohio 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?

$158

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $257 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 8 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$95.50 to $166
FacilityA hospital or hospital-owned outpatient department$257$174 to $417

How much rates vary

Facilitymedian $257 · 10th to 90th $141 to $871Professionalmedian $138 · 10th to 90th $74 to $355
$100$200$500$1Kfacility $257professional $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
$141.25
Median
$354.81
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$275.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$389.05
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$1,000.00
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$186.21
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$239.88

Where Ohio 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.

Ohio· 34th of 51

$158

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.