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Tumor Marker Test, Positive or Negative

Colorado 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.

Facilitymedian $66 · 10th–90th $19$1230%10%10th90th$66Professionalmedian $19 · 10th–90th $12$250%10%20%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$16.22
Median
$56.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.95
Typical High
$25.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$74.13
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$17.78
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.80
Typical High
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$77.62
Typical High
$77.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$25.70
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$26.92