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Pancreatic/GI Cancer Tumor Marker Blood Test

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $74.13 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$20.89$15.49 to $25.70
FacilityA hospital or hospital-owned outpatient department$74.13$15.49 to $97.72

How much rates vary

Facilitymedian $74 · 10th to 90th $11 to $162Professionalmedian $21 · 10th to 90th $14 to $38
$10$20$50$100facility $74professional $21

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
$74.13
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$81.28
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$16.60
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$51.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$19.50
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.45
Typical High
$30.90

Where Maryland 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.

Maryland· 45th 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.