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Tumor Marker Test, Positive or Negative

Alabama 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?

$21.88

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $22.91 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 4 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$21.88$16.98 to $29.51
FacilityA hospital or hospital-owned outpatient department$22.91$16.98 to $29.51

How much rates vary

Facilitymedian $23 · 10th to 90th $14 to $37Professionalmedian $22 · 10th to 90th $15 to $30
$10$20$50facility $23professional $22

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
$25.70
Median
$29.51
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$21.88
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.47
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$21.38
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.78
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$25.70

Where Alabama 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.

Alabama· 34th of 51

$21.88

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.