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Tumor Marker Test, Positive or Negative

Mississippi 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 $26 · 10th–90th $23$520%20%10th90th$26Professionalmedian $24 · 10th–90th $19$460%10%20%10th90th$24$5.0$10.0$20.0$50.0

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
$46.77
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$20.89
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$11.48
Typical High
$26.30