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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 July 2026.

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

$27.54

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $81.28 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 8 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$16.60 to $25.12
FacilityA hospital or hospital-owned outpatient department$81.28$31.62 to $120

How much rates vary

Facilitymedian $81 · 10th to 90th $18 to $174Professionalmedian $21 · 10th to 90th $15 to $29
$10$20$50$100$200$500facility $81professional $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
$17.78
Median
$85.11
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$28.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.45
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$89.13
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.05
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$39.81
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$31.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$36.31
Typical High
$50.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$18.20
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$27.54
Typical High
$27.54
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$27.54
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$28.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina 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.

North Carolina· 18th of 51

$27.54

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.