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Tumor Marker Test, Positive or Negative

Florida 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 $63 · 10th–90th $18$1380%10%10th90th$63Professionalmedian $18 · 10th–90th $16$290%20%10th90th$18$5.0$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
$67.61
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.20
Typical High
$28.84
AvMed
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$30.20
AvMed
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$23.99
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$22.39
Typical High
$45.71
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.59
Typical High
$14.45
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$27.54
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$12.30
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$16.22
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.75
Typical High
$27.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49