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Pancreatic/GI Cancer Tumor Marker Blood Test

Missouri 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?

$26.30

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $34.67 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 7 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$20.42$15.85 to $26.92
FacilityA hospital or hospital-owned outpatient department$34.67$23.44 to $47.86

How much rates vary

Facilitymedian $35 · 10th to 90th $18 to $135Professionalmedian $20 · 10th to 90th $10 to $37
$10$20$50$100$200facility $35professional $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
$18.20
Median
$36.31
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$34.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$17.38
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$19.95
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$19.50
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$36.31
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$26.92

Where Missouri 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.

Missouri· 21st of 51

$26.30

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.