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Pancreatic Cancer Blood Protein Panel

Georgia rates for HCPCS 0342U

Helps work out whether a person has pancreatic cancer. Nine proteins in a blood serum sample, including C5, cystatin C, factor B, osteoprotegerin, gelsolin, IGFBP3, CA125 and CA19-9, are measured and the pattern is reported as a classification. The test relies on proteins only and involves no DNA or RNA analysis.

Rates data updated October 2026.

How much does Pancreatic Cancer Blood Protein Panel cost?

$603

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,000 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$537$10.23 to $891
FacilityA hospital or hospital-owned outpatient department$1,000$603 to $1,202

How much rates vary

Facilitymedian $1,000 · 10th to 90th $41 to $1,995Professionalmedian $537 · 10th to 90th $6 to $912
$10$50$200$1Kfacility $1,000professional $537

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
$602.56
Median
$602.56
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$602.56
Median
$691.83
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$794.33
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$6.46
Median
$11.48
Typical High
$891.25
CareSource
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$1,174.90
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$380.19
Median
$537.03
Typical High
$1,905.46
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$295.12
Median
$346.74
Typical High
$426.58
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$120.23
Median
$141.25
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,949.84

Where Georgia sits

The same service costs 31.6 times more in Alaska than in Alabama. 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.

Georgia· 38th of 51

$603

AK $1,995AL $63.10

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.