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Allergy Blood Test For A Specific Substance

Missouri 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 July 2026.

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

$9.12

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $13.18 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 7 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$6.03$4.47 to $10.72
FacilityA hospital or hospital-owned outpatient department$13.18$7.08 to $28.18

How much rates vary

Facilitymedian $13 · 10th to 90th $5 to $58Professionalmedian $6 · 10th to 90th $3 to $17
$2$5$10$20$50$100facility $13professional $6

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
$5.62
Median
$15.14
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.92
Typical High
$17.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.68
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$9.77
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.00
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.79
Typical High
$13.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$9.12
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.31
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.25
Typical High
$6.92
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.89
Typical High
$7.08

Where Missouri sits

The same service costs 5.8 times more in South Dakota than in Washington, DC. 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.

Missouri· 10th of 51

$9.12

SD $22.39DC $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.