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Genetic Marker Analysis, Blood Or Tissue

Oregon 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?

$191

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $191 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$174$162 to $251
FacilityA hospital or hospital-owned outpatient department$191$174 to $324

How much rates vary

Facilitymedian $191 · 10th to 90th $174 to $457Professionalmedian $174 · 10th to 90th $148 to $339
$100.0$200.0$500.0$1.0Kfacility $191professional $174

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
$223.87
Median
$323.59
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$371.54
Typical High
$457.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$245.47
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$346.74
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$512.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$257.04
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$512.86
Typical High
$676.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$208.93

Where Oregon sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $191 · 13th of 51
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.