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Tumor Marker Test, Positive or Negative

Wisconsin 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 $51 · 10th–90th $19$1100%10%10th90th$51Professionalmedian $24 · 10th–90th $15$790%10%10th90th$24$10.0$20.0$50.0$100.0$200.0$500.0

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
$30.20
Median
$57.54
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$89.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$79.43
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$51.29
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$30.90
Typical High
$64.57
Network Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$45.71
Network Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$72.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$87.10
Quartz
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$120.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$19.05
Security Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$54.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$79.43
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$20.42
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$45.71