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New Jersey rates for HCPCS 86316

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

Facilitymedian $52 · 10th–90th $21–$1350%10%10th90th$52Professionalmedian $19 · 10th–90th $13–$380%50%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$20.89 / $52.48 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.62 / $38.02
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $138.04 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $45.71 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $58.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $23.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.05 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $20.89 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $30.20