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Genetic Marker Analysis, Blood Or Tissue

Virginia 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?

$170

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $204 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 8 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$129$85.11 to $158
FacilityA hospital or hospital-owned outpatient department$204$174 to $427

How much rates vary

Facilitymedian $204 · 10th to 90th $151 to $891Professionalmedian $129 · 10th to 90th $74 to $380
$100$200$500$1K$2K$5K$10Kfacility $204professional $129

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
$147.91
Median
$380.19
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$123.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$1,122.02
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$426.58
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$363.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$363.08
Typical High
$363.08
Sentara
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$223.87

Where Virginia 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.

Virginia· 31st of 51

$170

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.