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Allergy Blood Test For A Specific Substance

Georgia rates for HCPCS 86003

This blood test measures the level of a specific antibody your immune system produces in response to a particular allergen, such as a food, pollen, or pet dander, to help determine whether you have an allergy to that substance. It is performed for one allergen at a time, so multiple allergens tested together are billed as separate instances of this service.

Rates data updated October 2026.

How much does Allergy Blood Test For A Specific Substance cost?

$4.17

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $7.08 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.16$2.57 to $7.59
FacilityA hospital or hospital-owned outpatient department$7.08$5.25 to $10.47

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $18Professionalmedian $3 · 10th to 90th $2 to $10
$2$5$10$20$50facility $7professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$4.79
Typical High
$9.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.57
Typical High
$9.12
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.32
Typical High
$7.59
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4.47
Median
$7.08
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.62
Median
$2.95
Typical High
$10.00
CareSource
Setting
Facility
Modifier
None
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
CareSource
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$5.25
Typical High
$5.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$11.48
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$5.75
Typical High
$7.76
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$7.94
Typical High
$19.50
United
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$4.07
Typical High
$10.96
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.74
Median
$2.19
Typical High
$2.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.69
Median
$0.87
Typical High
$1.00

Where Georgia sits

The same service costs 4.5 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Georgia· 46th of 51

$4.17

AK $17.38MD $3.89

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.