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Tumor Marker Test, Positive or Negative

Arizona 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 $41 · 10th–90th $19$1100%10%10th90th$41Professionalmedian $20 · 10th–90th $12$1700%20%10th90th$20$10.0$20.0$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.42
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$63.10
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$21.38
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$25.12
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.88
Typical High
$38.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$25.70