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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 July 2026.

Facilitymedian $68 · 10th–90th $17$2340%5%10%10th90th$68Professionalmedian $17 · 10th–90th $15$1700%20%10th90th$17$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
$51.29
Median
$81.28
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$48.98
Typical High
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$32.36
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$28.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Midlands
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.49
Typical High
$51.29