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Tumor Marker Test, Positive or Negative

Texas 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 $45 · 10th–90th $19$1200%5%10%10th90th$45Professionalmedian $19 · 10th–90th $13$330%10%10th90th$19$2.0$5.0$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
$16.98
Median
$44.67
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.50
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$89.13
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$14.13
Typical High
$25.70
Christus
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.88
Typical High
$38.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$281.84
Typical High
$281.84
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$28.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.38
Typical High
$21.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$20.89
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$25.70
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$25.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23