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Tumor Marker Test, Positive or Negative

Hawaii 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 $25 · 10th–90th $25$350%50%90th$25Professionalmedian $36 · 10th–90th $29$480%20%10th90th$36$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
$25.12
Median
$25.12
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
HMSA
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.90
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$27.54
Typical High
$38.02
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$36.31