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Urine Test For A Bladder Cancer Marker

South Dakota 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?

$30.90

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $24.55 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 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$24.55$16.98 to $51.29
FacilityA hospital or hospital-owned outpatient department$41.69$39.81 to $41.69

How much rates vary

Facilitymedian $42 · 10th to 90th $22 to $42Professionalmedian $25 · 10th to 90th $14 to $52
$5.0$10.0$20.0$50.0$100.0facility $42professional $25

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
$15.14
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.98
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$51.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$102.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$11.22
Typical High
$21.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$51.29
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$13.18
Typical High
$27.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88

Where South Dakota 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.

South Dakota $30.90 · 3rd 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.