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Tumor Marker Test, Positive or Negative

South Carolina 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 $63 · 10th–90th $20$1100%10%10th90th$63Professionalmedian $20 · 10th–90th $20$270%50%90th$20$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
$17.78
Median
$63.10
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$22.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$27.54
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$30.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$25.70
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$30.90