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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Kentucky 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?

$158

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $204 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$135$81.28 to $166
FacilityA hospital or hospital-owned outpatient department$204$166 to $295

How much rates vary

Facilitymedian $204 · 10th to 90th $166 to $490Professionalmedian $135 · 10th to 90th $81 to $234
$100$200$500$1Kfacility $204professional $135

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
$165.96
Median
$165.96
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$323.59
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$204.17

Where Kentucky 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.

Kentucky· 46th of 51

$158

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.