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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.

How much does Tumor Marker Test, Positive or Negative cost?

$26.92

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $47.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$22.39 to $25.70
FacilityA hospital or hospital-owned outpatient department$47.86$27.54 to $56.23

How much rates vary

Facilitymedian $48 · 10th to 90th $25 to $62Professionalmedian $22 · 10th to 90th $17 to $33
$10$20$50$100facility $48professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Kansas sits

The same service costs 2.7 times more in South Dakota than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kansas· 20th of 51

$26.92

SD $48.98FL $18.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.