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Genetic Marker Analysis, Blood Or Tissue (Alternate)

New York 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 New York, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $162 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 9 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$162$110 to $245
FacilityA hospital or hospital-owned outpatient department$331$204 to $468

How much rates vary

Facilitymedian $331 · 10th to 90th $162 to $562Professionalmedian $162 · 10th to 90th $81 to $398
$100$200$500$1Kfacility $331professional $162

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
$162.18
Median
$346.74
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$398.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$204.17
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$436.52
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$870.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$363.08
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$245.47
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$363.08
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$457.09
Univera
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$229.09
Univera
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$363.08

Where New York 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 York· 25th 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.