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Missouri rates for HCPCS 86316

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

Facilitymedian $35 · 10th–90th $18–$930%10%10th90th$35Professionalmedian $20 · 10th–90th $12–$540%10%10th90th$20$10.0$20.0$50.0$100.0

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
$18.20 / $36.31 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $54.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $19.95 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $38.90 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.50 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $36.31 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $20.89 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $25.12