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Pancreatic/GI Cancer Tumor Marker Blood Test

Connecticut rates for HCPCS 86301

This blood test measures the level of a specific protein marker that can be elevated in some people with pancreatic or other gastrointestinal cancers. It is typically used to help monitor a known cancer's response to treatment or watch for signs of recurrence, rather than to diagnose cancer on its own.

Rates data updated July 2026.

How much does Pancreatic/GI Cancer Tumor Marker Blood Test cost?

$20.89

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $37.15 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$18.62$18.62 to $21.88
FacilityA hospital or hospital-owned outpatient department$37.15$28.18 to $50.12

How much rates vary

Facilitymedian $37 · 10th to 90th $21 to $62Professionalmedian $19 · 10th to 90th $15 to $25
$10$20$50$100facility $37professional $19

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
$20.89
Median
$38.02
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$25.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$32.36
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$33.88
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$23.99
Typical High
$32.36
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$20.89
Typical High
$30.90
Health New England
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$19.50
Typical High
$36.31

Where Connecticut sits

The same service costs 4.0 times more in West Virginia than in Virginia. 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.

Connecticut· 43rd of 51

$20.89

WV $83.18VA $20.89

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.