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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Maine 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 Maine, 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 $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 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$204$162 to $204
FacilityA hospital or hospital-owned outpatient department$331$204 to $912

How much rates vary

Facilitymedian $331 · 10th to 90th $204 to $1,288Professionalmedian $204 · 10th to 90th $120 to $240
$100$200$500$1Kfacility $331professional $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
$204.17
Median
$204.17
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$162.18
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,288.25
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$251.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$239.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$912.01
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$331.13

Where Maine 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.

Maine· 27th 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.