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Allergy Blood Test For A Specific Substance

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $6.31 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $20.89 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 4 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$5.37$3.89 to $6.31
FacilityA hospital or hospital-owned outpatient department$20.89$8.51 to $33.11

How much rates vary

Facilitymedian $21 · 10th to 90th $6 to $42Professionalmedian $5 · 10th to 90th $3 to $8
$5$10$20$50$100facility $21professional $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
$8.51
Median
$30.90
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.37
Typical High
$6.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$10.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.89
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.59
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.75
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.37
Typical High
$10.23

Where Rhode Island 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.

Rhode Island· 19th 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.