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Tumor Marker Test, Positive or Negative

Tennessee 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 $26 · 10th–90th $15$1200%10%10th90th$26Professionalmedian $20 · 10th–90th $17$280%20%10th90th$20$10.0$20.0$50.0$100.0$200.0

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
$19.05
Median
$23.99
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.95
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$54.95
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$36.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$27.54