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Tumor Marker Test, Positive or Negative

Washington 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 $41 · 10th–90th $26$1070%10%10th90th$41Professionalmedian $24 · 10th–90th $13$470%20%40%10th90th$24$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
$23.99
Median
$47.86
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$169.82
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$31.62
Typical High
$70.79
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$54.95
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$26.92
Typical High
$37.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$51.29
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.70
Typical High
$128.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$44.67
Typical High
$79.43
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$30.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$38.02
Typical High
$69.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$28.84