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Pancreatic/GI Cancer Tumor Marker Blood Test

New Mexico 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?

$24.55

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $50.12 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 5 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$22.91$18.20 to $25.12
FacilityA hospital or hospital-owned outpatient department$50.12$30.90 to $132

How much rates vary

Facilitymedian $50 · 10th to 90th $21 to $204Professionalmedian $23 · 10th to 90th $15 to $29
$10$100$1K$10K$100Kfacility $50professional $23

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
$25.12
Median
$38.90
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$27.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$138.04
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.98
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$30.20
Typical High
$45.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$36.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$20.89
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$15.49

Where New Mexico 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.

New Mexico· 33rd of 51

$24.55

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.