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Genetic Marker Analysis, Blood Or Tissue

Wisconsin 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 $479 · 10th–90th $191$9330%20%10th90th$479Professionalmedian $209 · 10th–90th $74$6030%10%20%10th90th$209$10.0$20.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$416.87
Typical High
$537.03
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$851.14
Typical High
$1,288.25
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$162.18
Network Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$263.03
Network Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$489.78
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$512.86
Quartz
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$602.56
Quartz
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$812.83
Typical High
$812.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$870.96
Typical High
$870.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$371.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$138.04
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$331.13