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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.

Facilitymedian $40 · 10th–90th $20$1380%10%20%10th90th$40Professionalmedian $20 · 10th–90th $17$310%20%40%10th90th$20$2.0$5.0$10.0$20.0$50.0$100.0

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
$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