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Urine Test For A Bladder Cancer Marker

Illinois rates for HCPCS 86386

A urine test that looks for a protein shed into the urine by bladder cancer cells. It helps in detecting bladder cancer and in checking whether it has returned after treatment, and is read alongside — not instead of — looking inside the bladder with a scope.

Rates data updated July 2026.

How much does Urine Test For A Bladder Cancer Marker cost?

$21.88

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $18.62 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 6 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$18.62$13.49 to $22.39
FacilityA hospital or hospital-owned outpatient department$33.88$22.39 to $44.67

How much rates vary

Facilitymedian $34 · 10th to 90th $18 to $60Professionalmedian $19 · 10th to 90th $3 to $45
$5.0$10.0$20.0$50.0$100.0$200.0facility $34professional $19

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$33.88
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$18.62
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$102.33
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$18.20
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$44.67
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$24.55
Typical High
$34.67
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$43.65
Typical High
$112.20
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$21.88
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.59
Typical High
$21.88

Where Illinois sits

The same service costs 2.4 times more in North Dakota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $21.88 · 23rd of 51
ND $36.31FL $15.14

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.