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Tumor Marker Test, Positive or Negative

Washington, DC 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 $44 · 10th–90th $19$1230%20%10th90th$44Professionalmedian $19 · 10th–90th $19$600%50%90th$19$10.0$20.0$50.0$100.0$200.0

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
$19.05
Median
$64.57
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$30.90
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$29.51