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Allergy Blood Test For A Specific Substance

South 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?

$10.96

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $29.51 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$8.51$5.25 to $12.88
FacilityA hospital or hospital-owned outpatient department$29.51$18.20 to $45.71

How much rates vary

Facilitymedian $30 · 10th to 90th $7 to $69Professionalmedian $9 · 10th to 90th $4 to $13
$2$5$10$20$50$100$200facility $30professional $9

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
$4.07
Median
$5.25
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$6.17
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$34.67
Typical High
$70.79
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$10.96
Typical High
$12.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$15.49
Typical High
$31.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$3.39
Typical High
$6.76
Medcost
Setting
Facility
Modifier
None
Typical Low
$3.89
Median
$5.50
Typical High
$38.02
Medcost
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$10.00
Typical High
$18.62
United
Setting
Facility
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$6.31
United
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$3.63
Typical High
$7.24
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.04
Median
$2.04
Typical High
$2.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.81
Median
$0.81
Typical High
$0.83

Where South 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.

South Carolina· 2nd of 51

$10.96

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.