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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 July 2026.

How much does Genetic Marker Analysis, Blood Or Tissue cost?

$151

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $302 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 4 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$141$129 to $151
FacilityA hospital or hospital-owned outpatient department$302$204 to $447

How much rates vary

Facilitymedian $302 · 10th to 90th $200 to $1,000Professionalmedian $141 · 10th to 90th $123 to $174
$100.0$200.0$500.0$1.0Kfacility $302professional $141

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$295.12

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. Pick one to see its carriers and full range.

Rhode Island $151 · 35th 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.