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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 July 2026.

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

$141

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $155 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 5 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$138$129 to $148
FacilityA hospital or hospital-owned outpatient department$155$141 to $257

How much rates vary

Facilitymedian $155 · 10th to 90th $141 to $257Professionalmedian $138 · 10th to 90th $115 to $148
$100$200$500facility $155professional $138

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
$141.25
Median
$154.88
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$147.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$831.76
Typical High
$831.76
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$204.17

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· 43rd of 51

$141

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.