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HE4 Tumor Marker Blood Test

Idaho 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?

$23.99

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $36.31 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 7 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$20.89$19.50 to $40.74
FacilityA hospital or hospital-owned outpatient department$36.31$20.89 to $58.88

How much rates vary

Facilitymedian $36 · 10th to 90th $21 to $93Professionalmedian $21 · 10th to 90th $14 to $41
$10$20$50$100facility $36professional $21

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
$37.15
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$40.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$52.48
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$43.65
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$30.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$26.92
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$25.12
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$42.66
Typical High
$74.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$17.78
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$26.92
Select Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$33.88

Where Idaho 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.

Idaho· 16th of 51

$23.99

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.