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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.

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

$30.90

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $34.67 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$28.18$20.42 to $30.90
FacilityA hospital or hospital-owned outpatient department$34.67$26.92 to $64.57

How much rates vary

Facilitymedian $35 · 10th to 90th $26 to $91Professionalmedian $28 · 10th to 90th $13 to $35
$10$20$50$100facility $35professional $28

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
$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

Where Louisiana 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.

Louisiana· 9th of 51

$30.90

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.