CPT 86294 Pathology/Laboratory
Immunologic analysis for detection of tumor antigen, qualitative or Cost
Body System: General
Medicare Facility Rate
$26
CMS PFS CY2026
Medicare Non-Facility Rate
$26
Office/clinic setting
Frequently Asked Questions
How much does Immunologic analysis for detection of tumor antigen, qualitative or cost?
The Medicare facility rate is $26. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Immunologic analysis for detection of tumor antigen, qualitative or cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $26.