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Genetic Marker Analysis, Blood Or Tissue

Pennsylvania 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?

$141

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $282 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$135 to $174
FacilityA hospital or hospital-owned outpatient department$282$174 to $617

How much rates vary

Facilitymedian $282 · 10th to 90th $141 to $1,023Professionalmedian $141 · 10th to 90th $105 to $263
$100$200$500$1K$2K$5Kfacility $282professional $141

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
$141.25
Median
$147.91
Typical High
$588.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$141.25
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$69.18
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$28.18
Typical High
$29.51
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,023.29
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$134.90
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$281.84
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$190.55
Typical High
$309.03
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$223.87
Typical High
$223.87
Geisinger
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Geisinger
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$257.04
Typical High
$436.52
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$467.74
Typical High
$794.33
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$141.25
Typical High
$147.91
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$69.18
Typical High
$74.13
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$28.18
Typical High
$29.51
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$426.58
Typical High
$977.24
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$229.09

Where Pennsylvania 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.

Pennsylvania· 43rd of 51

$141

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.