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Tumor Marker Test, Positive or Negative

South Dakota 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 $49 · 10th–90th $29$490%50%10th$49Professionalmedian $43 · 10th–90th $17$660%10%10th90th$43$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
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$48.98
Typical High
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$30.20
Typical High
$77.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.80
Typical High
$30.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$30.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70