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HE4 Tumor Marker Blood Test

Montana 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?

$29.51

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $33.11 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$26.92$23.99 to $63.10
FacilityA hospital or hospital-owned outpatient department$33.11$26.30 to $64.57

How much rates vary

Facilitymedian $33 · 10th to 90th $26 to $158Professionalmedian $27 · 10th to 90th $14 to $138
$10$100$1K$10K$100Kfacility $33professional $27

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
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$64,565.42
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$35.48
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$29.51
Typical High
$64.57
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$29.51
Typical High
$64.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$29.51

Where Montana 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.

Montana· 8th of 51

$29.51

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.