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Pancreatic/GI Cancer Tumor Marker Blood Test

Vermont 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 October 2026.

How much does Pancreatic/GI Cancer Tumor Marker Blood Test cost?

$36.31

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $209 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.70$16.60 to $36.31
FacilityA hospital or hospital-owned outpatient department$209$209 to $224

How much rates vary

Facilitymedian $209 · 10th to 90th $162 to $263Professionalmedian $26 · 10th to 90th $13 to $41
$10$20$50$100$200facility $209professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$245.47
Typical High
$371.54
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$28.18
Typical High
$36.31
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$18.20
Typical High
$46.77

Where Vermont sits

The same service costs 3.2 times more in Alaska than in Alabama. 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.

Vermont· 2nd of 51

$36.31

AK $48.98AL $15.14

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.