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Genetic Marker Analysis, Blood Or Tissue

Tennessee 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?

$174

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $107 to $389.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $129 to $537Professionalmedian $155 · 10th to 90th $79 to $1,288
$100$200$500$1Kfacility $355professional $155

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
$128.82
Median
$138.04
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$138.04
Typical High
$173.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$67.61
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$27.54
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$173.78
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$354.81
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$95.50
Typical High
$234.42
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$204.17

Where Tennessee 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.

Tennessee· 30th of 51

$174

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.