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Pancreatic/GI Cancer Tumor Marker Blood Test

Iowa 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?

$36.31

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $47.86 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 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$30.90$24.55 to $123
FacilityA hospital or hospital-owned outpatient department$47.86$31.62 to $67.61

How much rates vary

Facilitymedian $48 · 10th to 90th $21 to $102Professionalmedian $31 · 10th to 90th $16 to $135
$20$50$100facility $48professional $31

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
$48.98
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$36.31
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$50.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$51.29
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$64.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$25.12
Typical High
$53.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$27.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.38
Typical High
$52.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$20.89

Where Iowa 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.

Iowa· 9th of 51

$36.31

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.