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Genetic Marker Analysis, Blood Or Tissue

West 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 October 2026.

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

$155

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $155 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$102 to $295
FacilityA hospital or hospital-owned outpatient department$155$155 to $363

How much rates vary

Facilitymedian $155 · 10th to 90th $141 to $513Professionalmedian $148 · 10th to 90th $79 to $380
$100$200$500facility $155professional $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
$141.25
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$141.25
Typical High
$147.91
CareSource
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$338.84
Typical High
$512.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$288.40
Typical High
$831.76
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$102.33
Typical High
$380.19

Where West 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.

West Virginia· 36th of 51

$155

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.