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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Georgia rates for HCPCS 81269

This service is a laboratory test that analyzes a specific gene or genetic marker from a blood or tissue sample. Results help a doctor diagnose an inherited condition, confirm a diagnosis, or guide treatment decisions. The sample is processed in a specialized genetics laboratory.

Rates data updated July 2026.

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

$191

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $229 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 6 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$178$135 to $234
FacilityA hospital or hospital-owned outpatient department$229$182 to $275

How much rates vary

Facilitymedian $229 · 10th to 90th $155 to $372Professionalmedian $178 · 10th to 90th $91 to $398
$100$200$500facility $229professional $178

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
$134.90
Median
$275.42
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$204.17
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$181.97
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$446.68
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$269.15

Where Georgia 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.

Georgia· 33rd of 51

$191

AK $457DE $135

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.