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Allergy Blood Test For A Specific Substance

New Jersey 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?

$6.46

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $4.57 from a physician practice, and about $14.79 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$4.57$4.17 to $5.01
FacilityA hospital or hospital-owned outpatient department$14.79$7.76 to $39.81

How much rates vary

Facilitymedian $15 · 10th to 90th $5 to $85Professionalmedian $5 · 10th to 90th $4 to $6
$10$100$1K$10Kfacility $15professional $5

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
$14.79
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.57
Typical High
$6.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.24
Typical High
$3.63
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$51.29
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$11.48
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$5.37
Typical High
$14.45
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.63
Typical High
$5.89
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.57
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$5.25
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.16
Typical High
$7.59

Where New Jersey 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.

New Jersey· 17th of 51

$6.46

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.