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HE4 Tumor Marker Blood Test

North Dakota 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?

$35.48

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $19.50 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$35.48$19.50 to $42.66
FacilityA hospital or hospital-owned outpatient department$19.50$14.45 to $24.55

How much rates vary

Facilitymedian $19 · 10th to 90th $14 to $37Professionalmedian $35 · 10th to 90th $14 to $48
$10$20$50$100facility $19professional $35

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
$14.45
Median
$14.45
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$30.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$30.90
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.45
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$23.44
Typical High
$33.88

Where North Dakota 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.

North Dakota· 5th of 51

$35.48

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.