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HE4 Tumor Marker Blood Test

Kansas 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?

$19.50

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $18.20 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 6 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$18.20$15.85 to $19.50
FacilityA hospital or hospital-owned outpatient department$36.31$22.39 to $48.98

How much rates vary

Facilitymedian $36 · 10th to 90th $19 to $66Professionalmedian $18 · 10th to 90th $14 to $21
$10$20$50$100facility $36professional $18

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
$22.39
Median
$45.71
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$33.88
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$23.99
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$19.05
Typical High
$36.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.59
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$20.89
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.59
Typical High
$33.11

Where Kansas 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.

Kansas· 32nd of 51

$19.50

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.