go back

Genetic Marker Analysis, Blood Or Tissue

South Carolina 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?

$138

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $324 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 5 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$135 to $151
FacilityA hospital or hospital-owned outpatient department$324$135 to $550

How much rates vary

Facilitymedian $324 · 10th to 90th $135 to $813Professionalmedian $138 · 10th to 90th $112 to $204
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $324professional $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
$128.82
Median
$426.58
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$181.97
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$204.17

Where South Carolina 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.

South Carolina $138 · 46th 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.