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California rates for HCPCS 86316

Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each

Facilitymedian $60 · 10th–90th $18$2000%5%10th90th$60Professionalmedian $21 · 10th–90th $13$810%10%10th90th$21$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $66.07 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.89 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $14.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $48.98 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $18.20 / $58.88
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $123.03 / $331.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $23.99 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $36.31 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $23.99 / $52.48
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.89 / $33.11
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $25.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $25.12 / $61.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $52.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.38 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $14.45 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $45.71