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Genetic Marker Analysis, Blood Or Tissue

Rhode Island 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?

$151

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $209 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$110 to $151
FacilityA hospital or hospital-owned outpatient department$209$200 to $302

How much rates vary

Facilitymedian $209 · 10th to 90th $182 to $479Professionalmedian $129 · 10th to 90th $91 to $234
$100$200$500facility $209professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$204.17
Typical High
$302.00
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$128.82
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$478.63
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$288.40

Where Rhode Island 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.

Rhode Island· 37th of 51

$151

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.