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Tumor Marker Test, Positive or Negative

Maryland 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?

$19.05

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $19.05 for this service. Most negotiated rates run $17.78 to $27.54.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13 · 10th to 90th $11 to $26Professionalmedian $19 · 10th to 90th $14 to $68
$10$20$50$100facility $13professional $19

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$67.61
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$24.55
Typical High
$63.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$25.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$20.42
Typical High
$20.42

Where Maryland 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.

Maryland· 48th of 51

$19.05

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.