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Tumor Marker Test, Positive or Negative

Delaware 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 $30 · 10th–90th $30$300%50%$30Professionalmedian $21 · 10th–90th $19$370%20%40%10th90th$21$10.0$20.0$50.0

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
$29.51
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.89
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$27.54