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Tumor Marker Test, Positive or Negative

New Jersey 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 $47 · 10th–90th $25$2240%20%10th90th$47Professionalmedian $20 · 10th–90th $12$470%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
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$56.23
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.70
Typical High
$54.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$22.39
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$18.20
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$25.70
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$25.70