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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.

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

$20.42

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $40.74 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 5 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$20.42$16.98 to $20.42
FacilityA hospital or hospital-owned outpatient department$40.74$26.92 to $89.13

How much rates vary

Facilitymedian $41 · 10th to 90th $19 to $110Professionalmedian $20 · 10th to 90th $12 to $170
$10$20$50$100facility $41professional $20

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
$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

Where Arizona 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.

Arizona· 42nd of 51

$20.42

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.