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Tumor Marker Test, Positive or Negative

Arkansas 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 October 2026.

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

$28.84

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $28.84 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.88$11.75 to $32.36
FacilityA hospital or hospital-owned outpatient department$28.84$28.84 to $38.02

How much rates vary

Facilitymedian $29 · 10th to 90th $23 to $40Professionalmedian $22 · 10th to 90th $10 to $38
$10$20$50facility $29professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$9.77
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.89
Median
$6.46
Typical High
$6.46
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$39.81
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$23.99
Typical High
$50.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$13.80
Typical High
$36.31
United
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$10.72
Typical High
$25.70

Where Arkansas sits

The same service costs 3.8 times more in Alaska than in Alabama. 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.

Arkansas· 14th of 51

$28.84

AK $57.54AL $15.14

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.