go back

Pancreatic/GI Cancer Tumor Marker Blood Test

Illinois 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?

$27.54

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $42.66 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 7 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$17.78$15.85 to $27.54
FacilityA hospital or hospital-owned outpatient department$42.66$30.90 to $115

How much rates vary

Facilitymedian $43 · 10th to 90th $21 to $145Professionalmedian $18 · 10th to 90th $3 to $42
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $43professional $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
$20.89
Median
$42.66
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$22.91
Typical High
$42.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$54.95
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$14.45
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$47.86
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$23.99
Typical High
$38.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$41.69
Typical High
$190.55
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$20.89

Where Illinois 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.

Illinois $27.54 · 17th 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.