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Allergy Blood Test For A Specific Substance

Virginia 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?

$5.50

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $5.50 for this service. The price depends on where it is billed: about $4.47 from a physician practice, and about $12.88 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 8 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$4.47$3.89 to $4.90
FacilityA hospital or hospital-owned outpatient department$12.88$6.46 to $33.11

How much rates vary

Facilitymedian $13 · 10th to 90th $5 to $52Professionalmedian $4 · 10th to 90th $3 to $10
$10$100$1Kfacility $13professional $4

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
$6.46
Median
$25.12
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.57
Typical High
$7.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$3.98
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$24.55
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$13.49
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.80
Typical High
$7.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$7.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$10.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$5.37
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.89
Typical High
$10.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$7.94
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.94
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$5.25
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.16
Typical High
$5.50

Where Virginia 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.

Virginia· 34th of 51

$5.50

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.