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Tumor Marker Test, Positive or Negative

Connecticut 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 $40 · 10th–90th $26$760%20%10th90th$40Professionalmedian $18 · 10th–90th $12$300%10%20%10th90th$18$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
$25.70
Median
$44.67
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$18.20
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.49
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$39.81
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$29.51
Typical High
$41.69
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.39
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$23.44
Typical High
$44.67