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Tumor Marker Test, Positive or Negative

Massachusetts 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 $51 · 10th–90th $19$890%10%20%10th90th$51Professionalmedian $26 · 10th–90th $17$550%20%40%10th90th$26$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$18.62
Median
$52.48
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$38.90
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$120.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$33.11
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$28.84
Typical High
$44.67
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$43.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$60.26
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$120.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$24.55
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$58.88