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Tumor Marker Test, Positive or Negative

West Virginia 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 $32 · 10th–90th $21$380%20%10th90th$32Professionalmedian $20 · 10th–90th $12$220%50%10th90th$20$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
$20.89
Median
$31.62
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.42
Typical High
$21.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$50.12
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$38.02
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$27.54