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Allergy Blood Test For A Specific Substance

Vermont 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?

$4.68

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $4.68 from a physician practice, and about $51.29 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 5 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$4.68$4.47 to $6.31
FacilityA hospital or hospital-owned outpatient department$51.29$42.66 to $91.20

How much rates vary

Facilitymedian $51 · 10th to 90th $9 to $95Professionalmedian $5 · 10th to 90th $4 to $9
$2$5$10$20$50$100facility $51professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.68
Typical High
$6.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$7.08
Typical High
$8.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$6.46
Typical High
$14.13

Where Vermont 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.

Vermont· 50th of 51

$4.68

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.