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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Iowa 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?

$204

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $363 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 8 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$182$155 to $389
FacilityA hospital or hospital-owned outpatient department$363$204 to $537

How much rates vary

Facilitymedian $363 · 10th to 90th $155 to $603Professionalmedian $182 · 10th to 90th $120 to $1,349
$100$200$500$1Kfacility $363professional $182

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
$154.88
Median
$478.63
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$489.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$354.81
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$269.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$602.56
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17

Where Iowa 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.

Iowa· 28th of 51

$204

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.