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Tumor Marker Test, Positive or Negative

Oklahoma 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.

Facilitymedian $26 · 10th–90th $19$760%10%20%10th90th$26Professionalmedian $18 · 10th–90th $11$260%20%10th90th$18$10.0$20.0$50.0$100.0$200.0

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
$19.05
Median
$25.70
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.72
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$22.91
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$10.72
Typical High
$16.60