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Genetic Marker Analysis, Blood Or Tissue (Alternate)

Virginia 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?

$200

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $245 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$151$95.50 to $174
FacilityA hospital or hospital-owned outpatient department$245$204 to $417

How much rates vary

Facilitymedian $245 · 10th to 90th $174 to $813Professionalmedian $151 · 10th to 90th $81 to $302
$100$200$500$1K$2K$5K$10Kfacility $245professional $151

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
$173.78
Median
$371.54
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$501.19
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$426.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$234.42

Where Virginia 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.

Virginia· 30th of 51

$200

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.