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Pancreatic/GI Cancer Tumor Marker Blood Test

Georgia 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?

$22.91

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $33.11 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 8 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$18.20$13.80 to $28.84
FacilityA hospital or hospital-owned outpatient department$33.11$23.44 to $51.29

How much rates vary

Facilitymedian $33 · 10th to 90th $19 to $148Professionalmedian $18 · 10th to 90th $10 to $42
$10$20$50$100$200facility $33professional $18

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
$18.62
Median
$37.15
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.05
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$27.54
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$41.69
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$44.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$29.51
Typical High
$77.62
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$28.84

Where Georgia 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.

Georgia· 36th of 51

$22.91

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.