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Allergy Blood Test For A Specific Substance

Kentucky 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?

$5.25

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $5.25 for this service. The price depends on where it is billed: about $5.13 from a physician practice, and about $5.25 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.13$3.16 to $6.03
FacilityA hospital or hospital-owned outpatient department$5.25$4.37 to $7.24

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $12Professionalmedian $5 · 10th to 90th $3 to $7
$2$5$10$20facility $5professional $5

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
$4.27
Median
$4.37
Typical High
$7.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$4.37
Typical High
$5.89
Ambetter
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$6.61
Typical High
$7.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3.24
Median
$5.25
Typical High
$5.50
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$5.13
Typical High
$7.24
CareSource
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$6.31
Typical High
$7.24
CareSource
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$6.03
Typical High
$8.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$12.30
Typical High
$12.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$4.37
Typical High
$7.24
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
$2.14
Median
$2.19
Typical High
$2.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.85
Median
$0.87
Typical High
$1.20

Where Kentucky 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.

Kentucky· 30th of 51

$5.25

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.