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Pancreatic/GI Cancer Tumor Marker Blood Test

North Carolina 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?

$16.60

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $24.55 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.60$14.13 to $21.38
FacilityA hospital or hospital-owned outpatient department$24.55$16.60 to $45.71

How much rates vary

Facilitymedian $25 · 10th to 90th $17 to $78Professionalmedian $17 · 10th to 90th $11 to $30
$10$20$50$100facility $25professional $17

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
$16.60
Median
$20.89
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$25.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.32
Median
$8.32
Typical High
$8.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.31
Median
$3.31
Typical High
$3.63
Ambetter
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$13.80
Typical High
$29.51
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$64.57
Typical High
$77.62
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$45.71
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$14.13
Typical High
$31.62
Medcost
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$36.31
Typical High
$50.12
Medcost
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.60
Typical High
$43.65
Medcost
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$29.51
Typical High
$38.02
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$14.45
Typical High
$28.18

Where North Carolina 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.

North Carolina· 44th of 51

$16.60

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.