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Urine Test For A Bladder Cancer Marker

Pennsylvania 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?

$18.62

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $41.69 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 8 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$17.78$16.98 to $20.42
FacilityA hospital or hospital-owned outpatient department$41.69$25.70 to $60.26

How much rates vary

Facilitymedian $42 · 10th to 90th $19 to $81Professionalmedian $18 · 10th to 90th $4 to $37
$10.0$100.0$1.0K$10.0Kfacility $42professional $18

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
$18.62
Median
$41.69
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$17.78
Typical High
$51.29
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$21.88
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$31.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$18.62
Typical High
$38.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$41.69
Typical High
$74.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$17.78
Typical High
$64.57
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$31.62
Typical High
$53.70
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$21.88
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.18
Typical High
$32.36

Where Pennsylvania 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.

Pennsylvania $18.62 · 35th 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.