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New York rates for HCPCS 86316

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

Facilitymedian $45 · 10th–90th $18$910%10%10th90th$45Professionalmedian $19 · 10th–90th $10$480%20%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
$17.78 / $45.71 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.75 / $47.86
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $20.89
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $50.12 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $30.90 / $102.33
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $24.55 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.45 / $40.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $27.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $52.48 / $83.18
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $38.90 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $15.14 / $46.77
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $66.07
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $70.79