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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.

Facilitymedian $24 · 10th–90th $17$460%20%10th90th$24Professionalmedian $39 · 10th–90th $17$590%10%10th90th$39$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
Facility
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
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