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Genetic Marker Analysis, Blood Or Tissue

Utah 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?

$182

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $186 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$105 to $182
FacilityA hospital or hospital-owned outpatient department$186$182 to $209

How much rates vary

Facilitymedian $186 · 10th to 90th $155 to $617Professionalmedian $148 · 10th to 90th $72 to $269
$100$200$500facility $186professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$91.20
Median
$295.12
Typical High
$389.05
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$117.49
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$186.21
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$177.83
Typical High
$316.23
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$257.04
Typical High
$288.40
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$199.53
Typical High
$691.83
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$229.09
Select Health
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$257.04
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$104.71

Where Utah 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.

Utah· 22nd of 51

$182

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.