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Tumor Marker Test, Positive or Negative

Indiana 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 $26 · 10th–90th $26$760%20%40%90th$26Professionalmedian $21 · 10th–90th $10$230%50%10th90th$21$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
$20.89
Median
$28.18
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.89
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$18.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$25.70
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$22.91
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.70
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$28.18