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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Illinois 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?

$174

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $331 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$166$141 to $209
FacilityA hospital or hospital-owned outpatient department$331$214 to $417

How much rates vary

Facilitymedian $331 · 10th to 90th $174 to $631Professionalmedian $166 · 10th to 90th $3 to $372
$5$20$100$500$2Kfacility $331professional $166

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
$173.78
Median
$331.13
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$707.95
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$141.25
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$245.47
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$724.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$457.09

Where Illinois 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.

Illinois· 41st of 51

$174

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.