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Illinois rates for HCPCS 86316

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

Facilitymedian $48 · 10th–90th $21–$2040%5%10%10th90th$48Professionalmedian $18 · 10th–90th $11–$480%10%20%10th90th$18$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$21.38 / $47.86 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $64.57 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $14.45 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $47.86 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.99 / $38.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $39.81 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.13 / $20.89