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Tumor Marker Test, Positive or Negative

Kansas 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 $48 · 10th–90th $25$620%10%20%10th90th$48Professionalmedian $22 · 10th–90th $17$330%20%40%10th90th$22$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
$26.92
Median
$56.23
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.39
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$31.62
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$27.54
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$44.67
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.70
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.60
Typical High
$40.74