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Tumor Marker Test, Positive or Negative

Louisiana 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 October 2026.

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

$27.54

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $38.90 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.50$10.72 to $28.18
FacilityA hospital or hospital-owned outpatient department$38.90$26.30 to $52.48

How much rates vary

Facilitymedian $39 · 10th to 90th $21 to $78Professionalmedian $19 · 10th to 90th $7 to $31
$10$20$50$100facility $39professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$34.67
Typical High
$131.83
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$13.49
Median
$17.38
Typical High
$66.07
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$5.37
Median
$6.92
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$30.90
Typical High
$33.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.49
Median
$15.49
Typical High
$16.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.37
Median
$6.17
Typical High
$6.61
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$40.74
Typical High
$63.10
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$28.18
Typical High
$28.18
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$54.95
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$13.18
Typical High
$29.51
United
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$10.72
Typical High
$25.70

Where Louisiana sits

The same service costs 3.8 times more in Alaska than in Alabama. 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.

Louisiana· 17th of 51

$27.54

AK $57.54AL $15.14

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.