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Urine Test For A Bladder Cancer Marker

Vermont 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?

$28.18

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $21.88 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$28.18$28.18 to $28.18
FacilityA hospital or hospital-owned outpatient department$21.88$7.59 to $36.31

How much rates vary

Facilitymedian $22 · 10th to 90th $8 to $36Professionalmedian $28 · 10th to 90th $14 to $28
$10.0$20.0$50.0$100.0facility $22professional $28

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
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$24.55
Typical High
$26.92
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$22.39
Typical High
$47.86

Where Vermont 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.

Vermont $28.18 · 6th 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.