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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.

Rates data updated July 2026.

How much does Tumor Marker Test, Positive or Negative cost?

$27.54

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $25.70 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$27.54$19.50 to $45.71
FacilityA hospital or hospital-owned outpatient department$25.70$25.70 to $45.71

How much rates vary

Facilitymedian $26 · 10th to 90th $23 to $46Professionalmedian $28 · 10th to 90th $15 to $52
$10$20$50facility $26professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$45.71
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$52.48
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
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$11.48
Typical High
$26.92

Where Mississippi sits

The same service costs 2.7 times more in South Dakota than in Florida. 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.

Mississippi· 16th of 51

$27.54

SD $48.98FL $18.20

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.