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Tumor Marker Test, Positive or Negative

Utah 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 $120 · 10th–90th $25$1740%20%10th90th$120Professionalmedian $22 · 10th–90th $19$300%10%20%10th90th$22$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
$25.12
Median
$134.90
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$19.50
Typical High
$38.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$104.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$21.88
Typical High
$22.91
Select Health
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.70
Typical High
$33.11
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.39
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$27.54