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Allergy Blood Test For A Specific Substance

North Carolina 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 North Carolina, October 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $4.17 from a physician practice, and about $6.76 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$4.17$3.55 to $5.75
FacilityA hospital or hospital-owned outpatient department$6.76$4.17 to $11.75

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $22Professionalmedian $4 · 10th to 90th $3 to $8
$2$5$10$20facility $7professional $4

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
$4.17
Median
$5.01
Typical High
$12.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.17
Typical High
$6.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.09
Median
$2.09
Typical High
$2.24
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.83
Median
$0.83
Typical High
$0.89
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$11.75
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$22.39
Typical High
$22.39
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$4.79
Typical High
$5.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.63
Median
$11.22
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$3.63
Typical High
$8.51
Medcost
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Medcost
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.17
Typical High
$10.96
Medcost
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$7.41
Typical High
$10.00
United
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$3.63
Typical High
$7.08

Where North Carolina 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.

North Carolina· 47th 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.