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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 July 2026.

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

$20.89

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $39.81 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$19.05 to $22.91
FacilityA hospital or hospital-owned outpatient department$39.81$21.38 to $138

How much rates vary

Facilitymedian $40 · 10th to 90th $20 to $138Professionalmedian $20 · 10th to 90th $17 to $31
$10$20$50$100facility $40professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$48.98
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$29.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$21.38
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.49
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.20
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$28.18
Typical High
$36.31
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$25.70
Typical High
$54.95
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$17.78
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$25.70
Typical High
$36.31

Where Nevada sits

The same service costs 2.7 times more in South Dakota than in Florida. 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· 40th of 51

$20.89

SD $48.98FL $18.20

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.