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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 October 2026.

How much does Tumor Marker Test, Positive or Negative cost?

$20.42

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $20.42 for this service. Most negotiated rates run $18.62 to $24.55.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44 · 10th to 90th $19 to $98Professionalmedian $20 · 10th to 90th $14 to $36
$10$20$50$100facility $44professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
CareFirst
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$20.42
Typical High
$24.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$43.65
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$30.90
Typical High
$186.21
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$15.49
Typical High
$29.51

Where Washington, DC sits

The same service costs 3.8 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 34th of 51

$20.42

AK $57.54AL $15.14

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.