go back

Virginia rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $93 · 10th–90th $21$2630%5%10%10th90th$93Professionalmedian $19 · 10th–90th $13$370%20%40%10th90th$19$10.0$50.0$200.0$1.0K$5.0K

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
$26.30 / $117.49 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $15.85
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $97.72 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $52.48 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.14 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $30.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $34.67 / $40.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $24.55 / $43.65
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $30.20 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $30.20 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $20.89 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $22.91