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Aquaporin-4 Antibody Blood Test

Pennsylvania rates for HCPCS 86051

A blood test that looks for an antibody the immune system can make against a water-channel protein found on support cells in the brain, spinal cord and optic nerves. Finding this antibody points to a condition that causes repeated attacks of vision loss and spinal cord inflammation. The result strongly influences which long-term treatment is chosen.

Rates data updated July 2026.

How much does Aquaporin-4 Antibody Blood Test cost?

$14.79

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $34.67 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 9 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$9.33$8.91 to $10.96
FacilityA hospital or hospital-owned outpatient department$34.67$16.98 to $48.98

How much rates vary

Facilitymedian $35 · 10th to 90th $10 to $51Professionalmedian $9 · 10th to 90th $7 to $18
$5$10$20$50$100$200facility $35professional $9

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
$9.77
Median
$38.90
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.33
Typical High
$17.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$15.14
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$10.72
Typical High
$16.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$16.60
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.23
Typical High
$19.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$20.42
Typical High
$323.59
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.94
Typical High
$8.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$28.84
Typical High
$51.29
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.33
Typical High
$33.88
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$31.62
Typical High
$64.57
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$11.48
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.24
Typical High
$17.38

Where Pennsylvania sits

The same service costs 3.0 times more in Alaska than in Connecticut. 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.

Pennsylvania· 5th of 51

$14.79

AK $22.39CT $7.59

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.