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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 July 2026.

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

$148

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $309 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 6 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$129 to $182
FacilityA hospital or hospital-owned outpatient department$309$162 to $617

How much rates vary

Facilitymedian $309 · 10th to 90th $129 to $741Professionalmedian $138 · 10th to 90th $105 to $209
$50$100$200$500$1Kfacility $309professional $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
$467.74
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$363.08
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$239.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$181.97
United
Setting
Professional
Modifier
Global
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· 37th of 51

$148

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.