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Pancreatic/GI Cancer Tumor Marker Blood Test

New Jersey 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?

$25.12

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $64.57 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$18.62$16.22 to $24.55
FacilityA hospital or hospital-owned outpatient department$64.57$31.62 to $135

How much rates vary

Facilitymedian $65 · 10th to 90th $22 to $275Professionalmedian $19 · 10th to 90th $14 to $31
$10.0$100.0$1.0K$10.0Kfacility $65professional $19

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
$23.99
Median
$66.07
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.62
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$14.45
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$138.04
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$45.71
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.62
Typical High
$58.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$23.44
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$20.89
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$28.84

Where New Jersey sits

The same service costs 4.0 times more in West Virginia than in Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $25.12 · 24th of 51
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.