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Tumor Marker Test, Positive or Negative

California 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 $74 · 10th–90th $25$2290%5%10th90th$74Professionalmedian $23 · 10th–90th $13$760%10%20%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
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$85.11
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.44
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$64.57
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$17.38
Typical High
$52.48
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$117.49
Typical High
$275.42
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$44.67
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$25.70
Typical High
$52.48
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$57.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$25.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$29.51
Typical High
$67.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$52.48
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$48.98