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Tumor Marker Test, Positive or Negative

Nationwide rates for HCPCS 86294

An antibody-based laboratory test that looks for a tumor-associated substance in a sample and reports the answer as positive or negative, or as a rough level, rather than an exact figure. A common use is checking urine for a bladder cancer marker in someone being monitored after treatment.

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $20$1170%10%10th90th$40Professionalmedian $21 · 10th–90th $12$490%20%10th90th$21$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$42.66
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$34.67
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.49
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$48.98
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$29.51
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$25.70
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$33.11