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Genetic Marker Analysis, Blood Or Tissue

Vermont 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 $174 · 10th–90th $174$2880%20%40%90th$174Professionalmedian $141 · 10th–90th $123$2510%20%10th90th$141$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$389.05
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$407.38