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Pancreatic/GI Cancer Tumor Marker Blood Test

Virginia 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?

$20.89

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $39.81 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 8 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$15.49 to $20.89
FacilityA hospital or hospital-owned outpatient department$39.81$20.89 to $89.13

How much rates vary

Facilitymedian $40 · 10th to 90th $19 to $151Professionalmedian $17 · 10th to 90th $10 to $48
$10$100$1K$10Kfacility $40professional $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
$19.50
Median
$51.29
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.98
Typical High
$39.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$15.85
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$52.48
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.14
Typical High
$36.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$30.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$34.67
Typical High
$40.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$21.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$43.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.20
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$20.89
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$21.88

Where Virginia 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.

Virginia· 51st of 51

$20.89

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.