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Tumor Marker Test, Positive or Negative

Illinois 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 $47 · 10th–90th $26$890%10%10th90th$47Professionalmedian $21 · 10th–90th $3$370%10%10th90th$21$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$25.70
Median
$46.77
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$51.29
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$17.78
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$53.70
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$29.51
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$44.67
Typical High
$114.82
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$25.70
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$25.70