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HE4 Tumor Marker Blood Test

Washington, DC rates for HCPCS 86305

A blood test that measures human epididymis protein 4, a substance often raised in women with ovarian cancer. It is used together with other tests when assessing a mass on an ovary, and to follow how a known ovarian cancer responds to treatment.

Rates data updated July 2026.

How much does HE4 Tumor Marker Blood Test cost?

$15.49

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $35.48 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$15.49$15.49 to $15.49
FacilityA hospital or hospital-owned outpatient department$35.48$15.49 to $75.86

How much rates vary

Facilitymedian $35 · 10th to 90th $15 to $145Professionalmedian $15 · 10th to 90th $15 to $74
$10$20$50$100$200facility $35professional $15

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
$15.49
Median
$75.86
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$35.48
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$23.99
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.12
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.18
Typical High
$35.48

Where Washington, DC sits

The same service costs 3.2 times more in Oklahoma than in Washington, DC. 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.

Washington, DC· 51st of 51

$15.49

OK $50.12DC $15.49

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.