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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $309 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 8 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$107 to $191
FacilityA hospital or hospital-owned outpatient department$309$214 to $501

How much rates vary

Facilitymedian $309 · 10th to 90th $182 to $575Professionalmedian $162 · 10th to 90th $81 to $339
$100$200$500$1Kfacility $309professional $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
$169.82
Median
$389.05
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$275.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$407.38
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$1,122.02
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$218.78
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$346.74

Where Ohio 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.

Ohio· 32nd 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.