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Allergy Blood Test For A Specific Substance

South Dakota 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?

$22.39

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $33.11 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$15.14$4.90 to $26.30
FacilityA hospital or hospital-owned outpatient department$33.11$22.39 to $33.88

How much rates vary

Facilitymedian $33 · 10th to 90th $10 to $54Professionalmedian $15 · 10th to 90th $4 to $44
$5$10$20$50facility $33professional $15

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
$22.39
Median
$33.11
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$19.05
Typical High
$43.65
Avera
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$5.25
Typical High
$7.76
Avera
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.25
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.55
Typical High
$12.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$9.55
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.39
Typical High
$7.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.59
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$4.68
Typical High
$7.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25

Where South Dakota 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.

South Dakota· 1st of 51

$22.39

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.