go back

Genetic Marker Analysis, Blood Or Tissue (Alternate)

New Mexico 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?

$245

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $646 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$224$151 to $245
FacilityA hospital or hospital-owned outpatient department$646$302 to $1,230

How much rates vary

Facilitymedian $646 · 10th to 90th $182 to $1,698Professionalmedian $224 · 10th to 90th $85 to $1,349
$100$1K$10Kfacility $646professional $224

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
$302.00
Median
$602.56
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,096.48
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$208.93
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$181.97
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$162.18

Where New Mexico 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 Mexico· 11th of 51

$245

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.