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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 July 2026.

Facilitymedian $35 · 10th–90th $26$910%10%10th90th$35Professionalmedian $28 · 10th–90th $13$350%20%10th90th$28$5.0$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
$34.67
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$30.20
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$40.74
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.18
Typical High
$28.18
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$64.57
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.18
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$25.12
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.72
Typical High
$27.54