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Tumor Marker Test, Positive or Negative

Wyoming 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.

How much does Tumor Marker Test, Positive or Negative cost?

$39.81

Typical negotiated rate. In Wyoming, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $33.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$31.62 to $81.28
FacilityA hospital or hospital-owned outpatient department$33.88$25.70 to $40.74

How much rates vary

Facilitymedian $34 · 10th to 90th $24 to $51Professionalmedian $40 · 10th to 90th $26 to $81
$10$20$50facility $34professional $40

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$21.38
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$27.54

Where Wyoming sits

The same service costs 2.7 times more in South Dakota than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wyoming· 3rd of 51

$39.81

SD $48.98FL $18.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.