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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 July 2026.

Facilitymedian $42 · 10th–90th $26$1820%20%40%10th90th$42Professionalmedian $26 · 10th–90th $15$310%20%10th90th$26$10.0$20.0$50.0$100.0$200.0

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
$25.70
Median
$25.70
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.89
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$181.97
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.49
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$29.51
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.70
Typical High
$30.90
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$114.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$39.81