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Pancreatic/GI Cancer Tumor Marker Blood Test

South Dakota 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?

$39.81

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $107 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$27.54$19.50 to $42.66
FacilityA hospital or hospital-owned outpatient department$107$61.66 to $110

How much rates vary

Facilitymedian $107 · 10th to 90th $40 to $110Professionalmedian $28 · 10th to 90th $14 to $56
$10.0$20.0$50.0$100.0$200.0facility $107professional $28

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
$61.66
Median
$107.15
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$27.54
Avera
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$20.89
Typical High
$30.90
Avera
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.45
Typical High
$28.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$50.12
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$18.62
Typical High
$36.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89

Where South Dakota 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.

South Dakota $39.81 · 6th 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.