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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.

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

$27.54

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $28.18 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 8 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$26.92$24.55 to $34.67
FacilityA hospital or hospital-owned outpatient department$28.18$25.70 to $51.29

How much rates vary

Facilitymedian $28 · 10th to 90th $26 to $76Professionalmedian $27 · 10th to 90th $22 to $45
$10$20$50$100$200facility $28professional $27

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
$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

Where Oregon 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.

Oregon· 18th of 51

$27.54

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.