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Tumor Marker Test, Positive or Negative

Nevada 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 October 2026.

How much does Tumor Marker Test, Positive or Negative cost?

$25.70

Typical negotiated rate. In Nevada, October 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $30.20 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$11.22 to $25.70
FacilityA hospital or hospital-owned outpatient department$30.20$25.70 to $35.48

How much rates vary

Facilitymedian $30 · 10th to 90th $21 to $93Professionalmedian $19 · 10th to 90th $10 to $36
$10$50$200$1Kfacility $30professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$42.66
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$19.95
Typical High
$30.90
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$28.84
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$17.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$30.20
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$23.44
Typical High
$36.31
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$25.70
Typical High
$54.95
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Select Health
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$21.88
Typical High
$50.12

Where Nevada sits

The same service costs 3.8 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nevada· 21st of 51

$25.70

AK $57.54AL $15.14

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.