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Tumor Marker Test, Positive or Negative

North Carolina 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 $25 · 10th–90th $17$850%10%10th90th$25Professionalmedian $20 · 10th–90th $14$740%20%40%10th90th$20$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
$20.42
Median
$22.39
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$50.12
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$34.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$33.88
Typical High
$47.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$38.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$27.54
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$27.54
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.13
Typical High
$27.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$281.84