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Tumor Marker Test, Positive or Negative

Alaska 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.

How much does Tumor Marker Test, Positive or Negative cost?

$26.92

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $18.62 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$38.02 to $85.11
FacilityA hospital or hospital-owned outpatient department$18.62$18.62 to $25.70

How much rates vary

Facilitymedian $19 · 10th to 90th $19 to $112Professionalmedian $76 · 10th to 90th $26 to $102
$20$50$100$200facility $19professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$36.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.70
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$83.18
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$112.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$57.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$27.54
Typical High
$134.90

Where Alaska sits

The same service costs 2.7 times more in South Dakota than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 19th of 51

$26.92

SD $48.98FL $18.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.