go back

New Jersey rates for HCPCS 86294

Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)

Facilitymedian $47 · 10th–90th $32–$1780%20%40%10th90th$47Professionalmedian $20 · 10th–90th $12–$320%20%40%10th90th$20$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $33.88 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $56.23 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $54.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.02 / $22.39
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.20 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $23.99 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $25.70