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Tumor Marker Test, Positive or Negative

Minnesota 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 $69 · 10th–90th $26$1860%10%20%10th90th$69Professionalmedian $30 · 10th–90th $18$490%20%10th90th$30$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
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$48.98
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$186.21
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$38.90
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$25.70
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$25.70
Typical High
$57.54