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Maryland rates for HCPCS 86316

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

Facilitymedian $69 · 10th–90th $15–$1660%10%10th90th$69Professionalmedian $19 · 10th–90th $13–$780%20%10th90th$19$10.0$20.0$50.0$100.0$200.0

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
$25.12 / $72.44 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $77.62
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.60 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.95 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $23.99 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.30 / $19.50
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.45 / $30.90