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Genetic Marker Analysis, Blood Or Tissue (Alternate)

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $355 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$158$120 to $174
FacilityA hospital or hospital-owned outpatient department$355$257 to $955

How much rates vary

Facilitymedian $355 · 10th to 90th $204 to $2,042Professionalmedian $158 · 10th to 90th $107 to $245
$100$500$2K$10Kfacility $355professional $158

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
$208.93
Median
$302.00
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$234.42
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$537.03
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$323.59
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$213.80

Where New Jersey 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.

New Jersey· 40th 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.