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Tumor Marker Test, Positive or Negative

Missouri 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.

Facilitymedian $33 · 10th–90th $24$560%20%10th90th$33Professionalmedian $22 · 10th–90th $10$430%10%10th90th$22$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
$42.66
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$23.99
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$17.78
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$47.86
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$23.99
Typical High
$51.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$39.81
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$25.70
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.49
Typical High
$29.51