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Michigan rates for HCPCS 86316

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

Facilitymedian $20 · 10th–90th $18–$360%20%40%10th90th$20Professionalmedian $19 · 10th–90th $15–$420%20%10th90th$19$5.0$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
$17.78 / $19.95 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $22.91 / $30.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $19.95 / $36.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $27.54 / $42.66
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.98 / $24.55