go back

Genetic Marker Analysis, Blood Or Tissue

South Dakota 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.

Facilitymedian $331 · 10th–90th $195$3310%50%10th$331Professionalmedian $257 · 10th–90th $115$4470%10%10th90th$257$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$870.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78