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Pancreatic/GI Cancer Tumor Marker Blood Test

Maine 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 Maine, 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 $52.48 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$16.98 to $25.12
FacilityA hospital or hospital-owned outpatient department$52.48$20.89 to $93.33

How much rates vary

Facilitymedian $52 · 10th to 90th $21 to $209Professionalmedian $21 · 10th to 90th $13 to $28
$10$20$50$100$200facility $52professional $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
$20.89
Median
$33.88
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$194.98
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$25.12
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$27.54
Typical High
$213.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$20.89
Typical High
$42.66

Where Maine 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.

Maine· 42nd 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.