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Tumor Marker Test, Positive or Negative

Kentucky 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 $21$620%20%10th90th$26Professionalmedian $20 · 10th–90th $13$290%20%10th90th$20$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
$20.89
Median
$20.89
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$25.70
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$17.38
Typical High
$28.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$30.90
Typical High
$35.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$31.62
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$50.12
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$28.18