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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $398 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$204$162 to $204
FacilityA hospital or hospital-owned outpatient department$398$245 to $575

How much rates vary

Facilitymedian $398 · 10th to 90th $148 to $724Professionalmedian $204 · 10th to 90th $120 to $501
$100$200$500$1K$2Kfacility $398professional $204

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
$398.11
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$602.56
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$660.69
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$416.87
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$1,174.90
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$346.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$371.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$660.69
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$457.09

Where Massachusetts 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.

Massachusetts· 29th 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.