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HE4 Tumor Marker Blood Test

Maine 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?

$20.89

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $33.88 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$20.89$15.85 to $20.89
FacilityA hospital or hospital-owned outpatient department$33.88$20.89 to $93.33

How much rates vary

Facilitymedian $34 · 10th to 90th $21 to $191Professionalmedian $21 · 10th to 90th $11 to $27
$10$20$50$100$200facility $34professional $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
$20.89
Median
$20.89
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$20.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$190.55
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$25.12
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$93.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$20.89
Typical High
$42.66

Where Maine 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.

Maine· 27th of 51

$20.89

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.