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Tumor Marker Test, Positive or Negative

Montana 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 $35 · 10th–90th $26$780%20%10th90th$35Professionalmedian $32 · 10th–90th $23$1700%10%20%10th90th$32$10.0$20.0$50.0$100.0

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
Professional
Modifier
Global
Typical Low
$25.70
Median
$29.51
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$29.51
Typical High
$36.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$34.67
Typical High
$77.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$34.67
Typical High
$77.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$50.12
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$27.54