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Minnesota rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $78 · 10th–90th $21–$1950%10%10th90th$78Professionalmedian $21 · 10th–90th $17–$550%20%10th90th$21$10.0$20.0$50.0$100.0$200.0$500.0

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
$33.11 / $97.72 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $79.43 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $40.74
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $138.04
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $56.23 / $204.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $25.12 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $20.89 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $20.89 / $46.77