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Tumor Marker Test, Positive or Negative

Georgia 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 $31 · 10th–90th $15$540%10%20%10th90th$31Professionalmedian $17 · 10th–90th $11$290%10%20%10th90th$17$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
$14.13
Median
$28.84
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.42
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$30.90
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.49
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$51.29
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.39
Typical High
$38.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.48
Typical High
$27.54