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Tumor Marker Test, Positive or Negative

Maine 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?

$20.89

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $20.89 for this service. Most negotiated rates run $15.49 to $31.62.

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 $32 · 10th to 90th $25 to $174Professionalmedian $16 · 10th to 90th $11 to $31
$10$20$50$100$200facility $32professional $16

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
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$33.88
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$15.49
Typical High
$19.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$27.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.70
Typical High
$28.18
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$16.22
Typical High
$46.77
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$16.22
Typical High
$46.77

Where Maine 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.

Maine· 32nd of 51

$20.89

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.