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Genetic Marker Analysis, Blood Or Tissue (Alternate)

West 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?

$166

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $501 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$162$151 to $174
FacilityA hospital or hospital-owned outpatient department$501$302 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $166 to $1,585Professionalmedian $162 · 10th to 90th $135 to $174
$100$200$500$1Kfacility $501professional $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
$165.96
Median
$501.19
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$977.24
Typical High
$977.24
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$223.87

Where West 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.

West Virginia· 43rd of 51

$166

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.