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Tumor Marker Test, Positive or Negative

Oregon 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 $28 · 10th–90th $26$760%20%40%10th90th$28Professionalmedian $27 · 10th–90th $22$450%10%20%10th90th$27$10.0$50.0$200.0$1.0K

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
$33.11
Median
$47.86
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$25.12
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$28.84
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$66.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$35.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$28.18
Typical High
$34.67
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$51.29
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$30.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$74.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$75.86
Typical High
$100.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.44
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$30.90