go back

HE4 Tumor Marker Blood Test

Tennessee 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?

$16.60

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $31.62 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$16.22$15.49 to $18.62
FacilityA hospital or hospital-owned outpatient department$31.62$19.50 to $75.86

How much rates vary

Facilitymedian $32 · 10th to 90th $15 to $93Professionalmedian $16 · 10th to 90th $15 to $28
$5$10$20$50$100$200facility $32professional $16

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
$15.49
Median
$31.62
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$22.39
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$43.65
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.49
Typical High
$31.62
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$29.51

Where Tennessee 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.

Tennessee· 49th of 51

$16.60

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.