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Nationwide rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $63 · 10th–90th $21$2090%5%10%10th90th$63Professionalmedian $19 · 10th–90th $15$470%20%40%10th90th$19$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$20.89 / $69.18 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.05 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $42.66 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $24.55 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $20.89 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $30.90