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Texas rates for HCPCS 86316

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

Facilitymedian $52 · 10th–90th $18$1350%5%10%10th90th$52Professionalmedian $17 · 10th–90th $11$360%10%10th90th$17$2.0$10.0$50.0$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
$15.85 / $56.23 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.62 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $72.44 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $11.48 / $19.95
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $63.10
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $20.89 / $30.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.14 / $34.67
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.05 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $17.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $61.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.14 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $20.89 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $20.42
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $20.89