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Genetic Marker Analysis, Blood Or Tissue (Alternate)

South Dakota 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?

$398

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $398 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$389$191 to $603
FacilityA hospital or hospital-owned outpatient department$398$398 to $398

How much rates vary

Facilitymedian $398 · 10th to 90th $229 to $2,570Professionalmedian $389 · 10th to 90th $135 to $603
$100$200$500$1K$2Kfacility $398professional $389

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
$141.25
Median
$229.09
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$1,023.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17

Where South Dakota 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.

South Dakota· 2nd of 51

$398

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.