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California rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $100 · 10th–90th $24$2340%5%10%10th90th$100Professionalmedian $24 · 10th–90th $16$1320%10%20%10th90th$24$1.0$5.0$20.0$100.0$500.0$2.0K

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
$28.18 / $120.23 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $18.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $48.98 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $18.20 / $58.88
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $123.03 / $331.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $23.99 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $36.31 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $23.99 / $52.48
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.89 / $33.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $109.65
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.50 / $41.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $25.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $25.12 / $58.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $52.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $14.45 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $44.67