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Texas rates for HCPCS 86301

Immunoassay for tumor antigen, quantitative; CA 19-9

Facilitymedian $76 · 10th–90th $17$1510%5%10th90th$76Professionalmedian $17 · 10th–90th $11$300%10%10th90th$17$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $93.33 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.20 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.47 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $67.61 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $11.48 / $20.89
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $32.36 / $125.89
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $33.11
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $28.84 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $43.65 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $34.67
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $30.20 / $34.67
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $20.89 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.62 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $17.38
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $173.78 / $194.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $61.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $20.89 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $20.42
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $20.89