go back

North Carolina rates for HCPCS 86316

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

Facilitymedian $69 · 10th–90th $17–$1910%5%10%10th90th$69Professionalmedian $19 · 10th–90th $13–$310%20%10th90th$19$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
$16.60 / $70.79 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.62 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $14.45 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.45 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $42.66 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $31.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $50.12 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $40.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $20.89 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $28.84
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00