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California rates for HCPCS 86294

Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)

Facilitymedian $79 · 10th–90th $26$2240%5%10th90th$79Professionalmedian $23 · 10th–90th $15$760%10%10th90th$23$10.0$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $112.20 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $60.26 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $52.48
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $114.82 / $309.03
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $44.67 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $26.92 / $52.48
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $57.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $23.99 / $52.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $22.91 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $15.49 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $48.98