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Pancreatic/GI Cancer Tumor Marker Blood Test

South 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?

$43.65

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $102 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$16.60$16.22 to $28.84
FacilityA hospital or hospital-owned outpatient department$102$43.65 to $200

How much rates vary

Facilitymedian $102 · 10th to 90th $18 to $398Professionalmedian $17 · 10th to 90th $16 to $60
$10$20$50$100$200$500facility $102professional $17

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
$16.22
Median
$104.71
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.60
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$95.50
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$77.62
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.49
Typical High
$26.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$23.99
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$28.84

Where South 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.

South Carolina· 5th of 51

$43.65

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.