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Tumor Marker Test, Positive or Negative

Idaho 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 $46 · 10th–90th $26$950%10%20%10th90th$46Professionalmedian $24 · 10th–90th $20$490%20%40%10th90th$24$10.0$20.0$50.0$100.0

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
$45.71
Median
$45.71
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$64.57
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$53.70
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$36.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$36.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$34.67
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$91.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$26.92
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$32.36