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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 October 2026.

How much does Pancreatic/GI Cancer Tumor Marker Blood Test cost?

$19.95

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $21.88 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.95$15.49 to $25.12
FacilityA hospital or hospital-owned outpatient department$21.88$19.95 to $33.11

How much rates vary

Facilitymedian $22 · 10th to 90th $17 to $62Professionalmedian $20 · 10th to 90th $15 to $30
$10$20$50$100$200facility $22professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$30.90
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$10.00
Median
$10.00
Typical High
$15.49
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.98
Median
$3.98
Typical High
$6.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$20.89
Typical High
$25.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.91
Median
$10.00
Typical High
$10.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.55
Median
$3.98
Typical High
$4.17
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$21.88
Typical High
$38.90
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$16.98
Typical High
$30.20
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$30.90
Typical High
$81.28
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$10.00
Median
$10.00
Typical High
$15.49
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.98
Median
$3.98
Typical High
$6.17
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$25.12
Typical High
$37.15
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Priority Health
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$20.89
Typical High
$26.92
United
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$18.62
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$16.98
Typical High
$26.92

Where Michigan sits

The same service costs 3.2 times more in Alaska than in Alabama. 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· 35th of 51

$19.95

AK $48.98AL $15.14

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.