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Tumor Marker Test, Positive or Negative

New Mexico 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 $81 · 10th–90th $23$2140%10%10th90th$81Professionalmedian $19 · 10th–90th $12$1700%20%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$38.02
Median
$75.86
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$141.25
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$30.20
Typical High
$42.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$25.12
Typical High
$30.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$30.20
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$22.91
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$19.05