go back

Tumor Marker Test, Positive or Negative

North Dakota 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?

$43.65

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $29.51 to $57.54.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24 · 10th to 90th $18 to $46Professionalmedian $45 · 10th to 90th $24 to $63
$10$20$50$100facility $24professional $45

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
$17.78
Median
$23.99
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$51.29
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.20
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$26.92
Typical High
$37.15

Where North Dakota 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.

North Dakota· 2nd of 51

$43.65

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.