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Tumor Marker Test, Positive or Negative

Nebraska 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 October 2026.

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

$16.98

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $41.69 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.49$15.49 to $23.99
FacilityA hospital or hospital-owned outpatient department$41.69$30.90 to $61.66

How much rates vary

Facilitymedian $42 · 10th to 90th $15 to $120Professionalmedian $15 · 10th to 90th $14 to $51
$10$20$50$100facility $42professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$60.26
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$16.98
Typical High
$18.62
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$43.65
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$36.31
Typical High
$61.66
Medica
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$41.69
Typical High
$120.23
Medica
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$77.62
Midlands
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$46.77
Midlands
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$10.72
Typical High
$15.49
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$15.49
Typical High
$51.29

Where Nebraska sits

The same service costs 3.8 times more in Alaska than in Alabama. 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.

Nebraska· 49th of 51

$16.98

AK $57.54AL $15.14

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.