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Tumor Marker Test, Positive or Negative

Rhode Island 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 $47 · 10th–90th $26$1000%20%10th90th$47Professionalmedian $17 · 10th–90th $14$260%20%10th90th$17$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
$25.70
Median
$46.77
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$31.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.45
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$46.77
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$21.88
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$25.70
Typical High
$33.88