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Pancreatic/GI Cancer Tumor Marker Blood Test

Washington, DC 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?

$38.02

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $75.86 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$15.49$15.49 to $15.49
FacilityA hospital or hospital-owned outpatient department$75.86$38.02 to $229

How much rates vary

Facilitymedian $76 · 10th to 90th $15 to $302Professionalmedian $15 · 10th to 90th $15 to $72
$10.0$20.0$50.0$100.0$200.0facility $76professional $15

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
$15.49
Median
$125.89
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$104.71
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$35.48
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$23.99
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$25.12
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.18
Typical High
$35.48

Where Washington, DC sits

The same service costs 4.0 times more in West Virginia than in Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $38.02 · 7th of 51
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.