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Urine Test For A Bladder Cancer Marker

North Carolina 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?

$17.38

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $19.05 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$17.38$15.85 to $17.38
FacilityA hospital or hospital-owned outpatient department$19.05$17.38 to $29.51

How much rates vary

Facilitymedian $19 · 10th to 90th $13 to $72Professionalmedian $17 · 10th to 90th $12 to $27
$10.0$20.0$50.0$100.0facility $19professional $17

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
$13.80
Median
$19.05
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$17.38
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$41.69
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$29.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$22.39
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.22
Typical High
$22.39
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33

Where North Carolina 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.

North Carolina $17.38 · 42nd 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.