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Pancreatic/GI Cancer Tumor Marker Blood Test

West 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?

$83.18

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $151 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$16.98$16.22 to $20.89
FacilityA hospital or hospital-owned outpatient department$151$83.18 to $219

How much rates vary

Facilitymedian $151 · 10th to 90th $31 to $234Professionalmedian $17 · 10th to 90th $14 to $25
$10$20$50$100$200facility $151professional $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
$30.90
Median
$151.36
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.98
Typical High
$25.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$50.12
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$39.81
Typical High
$100.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$218.78
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$28.84

Where West 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.

West Virginia· 1st of 51

$83.18

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.