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Pancreatic Cyst Fluid Cancer Risk Test

New Jersey rates for HCPCS 0313U

Helps decide whether a cyst in the pancreas is harmless or is the kind that can turn into cancer. Fluid drawn from the cyst is tested for changes across 74 genes, along with the marker CEACAM5, and the cyst is graded for how likely it is to be or become a neoplasm.

Rates data updated October 2026.

How much does Pancreatic Cyst Fluid Cancer Risk Test cost?

$2,512

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $12,303 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,344$1,905 to $2,512
FacilityA hospital or hospital-owned outpatient department$12,303$7,943 to $20,417

How much rates vary

Facilitymedian $12,303 · 10th to 90th $3,631 to $27,542Professionalmedian $2,344 · 10th to 90th $1,660 to $3,020
$2K$5K$10K$20Kfacility $12,303professional $2,344

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$954.99
Median
$954.99
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$380.19
Median
$380.19
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$7,943.28
Typical High
$13,489.63
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,248.07
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$19,952.62
Typical High
$28,840.32
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$2,137.96
Typical High
$3,630.78

Where New Jersey sits

The same service costs 8.9 times more in Texas than in New Mexico. 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 Jersey· 38th of 51

$2,512

TX $13,490NM $1,514

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.