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Tumor Marker Test, Positive or Negative

New Hampshire 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 $71 · 10th–90th $35$1480%20%10th90th$71Professionalmedian $22 · 10th–90th $15$580%10%20%10th90th$22$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
$35.48
Median
$70.79
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$22.39
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$16.60
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$97.72
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.91
Typical High
$74.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$44.67
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.60
Typical High
$57.54