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Allergy Blood Test For A Specific Substance

West 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?

$10.00

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $10.00 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$4.27$4.07 to $5.25
FacilityA hospital or hospital-owned outpatient department$10.00$8.91 to $29.51

How much rates vary

Facilitymedian $10 · 10th to 90th $7 to $72Professionalmedian $4 · 10th to 90th $4 to $8
$2$5$10$20$50$100facility $10professional $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
$7.24
Median
$10.00
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.27
Typical High
$6.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$12.30
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$10.23
Typical High
$36.31
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$20.42
Typical High
$61.66
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$6.03
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.16
Typical High
$7.24

Where West 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.

West Virginia· 4th of 51

$10.00

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.