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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Michigan 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?

$191

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $191 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$166$151 to $191
FacilityA hospital or hospital-owned outpatient department$191$191 to $240

How much rates vary

Facilitymedian $191 · 10th to 90th $186 to $355Professionalmedian $166 · 10th to 90th $110 to $240
$100$200$500facility $191professional $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
$186.21
Median
$190.55
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$281.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$478.63
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$275.42
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$275.42

Where Michigan 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.

Michigan· 35th of 51

$191

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.