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Allergy Blood Test For A Specific Substance

Montana 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?

$6.31

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6.31 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $10.23 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 6 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$6.31$4.68 to $6.92
FacilityA hospital or hospital-owned outpatient department$10.23$6.76 to $29.51

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $56Professionalmedian $6 · 10th to 90th $4 to $10
$10$100$1K$10K$100Kfacility $10professional $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
$7.41
Median
$26.92
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.03
Typical High
$7.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.75
Typical High
$7.59
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$6.46
Typical High
$15.85
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.46
Typical High
$15.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$10.23
Typical High
$29.51
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.95
Typical High
$7.24

Where Montana 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.

Montana· 25th of 51

$6.31

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.