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Pancreatic/GI Cancer Tumor Marker Blood Test

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $20.89 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$19.95$18.20 to $24.55
FacilityA hospital or hospital-owned outpatient department$20.89$19.95 to $34.67

How much rates vary

Facilitymedian $21 · 10th to 90th $19 to $40Professionalmedian $20 · 10th to 90th $15 to $29
$10$20$50$100facility $21professional $20

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
$19.95
Median
$20.89
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$23.44
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$22.91
Typical High
$30.20
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$36.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.12
Typical High
$37.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$16.98
Typical High
$26.92

Where Michigan 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.

Michigan· 49th 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.