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HE4 Tumor Marker Blood Test

New Mexico 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?

$25.12

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $67.61 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$15.49$15.49 to $25.12
FacilityA hospital or hospital-owned outpatient department$67.61$30.90 to $148

How much rates vary

Facilitymedian $68 · 10th to 90th $19 to $174Professionalmedian $15 · 10th to 90th $13 to $138
$10$100$1K$10K$100Kfacility $68professional $15

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
$30.90
Median
$63.10
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$114.82
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$30.20
Typical High
$45.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$19.95
Typical High
$26.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$20.89
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$15.49

Where New Mexico 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.

New Mexico· 12th of 51

$25.12

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.