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Pancreatic/GI Cancer Tumor Marker Blood Test

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $50.12 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$18.20$13.80 to $24.55
FacilityA hospital or hospital-owned outpatient department$50.12$21.88 to $148

How much rates vary

Facilitymedian $50 · 10th to 90th $17 to $224Professionalmedian $18 · 10th to 90th $10 to $29
$10$20$50$100$200facility $50professional $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
$16.98
Median
$52.48
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$28.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$26.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$28.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$28.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$20.89
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$17.38
Typical High
$28.84

Where Kentucky 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.

Kentucky· 46th 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.