go back

Specific Antibody Or Protein Blood Test

North Carolina rates for HCPCS 86053

A laboratory blood test that detects a specific antibody or protein marker in the blood, commonly used to help evaluate an infection, autoimmune condition, or allergic reaction. It is one component of a broader diagnostic blood workup. Results are interpreted by a clinician alongside symptoms and other findings.

Rates data updated July 2026.

How much does Specific Antibody Or Protein Blood Test cost?

$40.74

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $100 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 6 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$9.55$9.55 to $15.14
FacilityA hospital or hospital-owned outpatient department$100$79.43 to $282

How much rates vary

Facilitymedian $100 · 10th to 90th $13 to $380Professionalmedian $10 · 10th to 90th $8 to $46
$10$20$50$100$200$500$1Kfacility $100professional $10

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
$32.36
Median
$100.00
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$22.39
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$81.28
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$43.65
Typical High
$57.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.47
Typical High
$32.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$14.13
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$19.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83

Where North Carolina sits

The same service costs 9.8 times more in Alaska than in Florida. 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.

North Carolina· 7th of 51

$40.74

AK $85.11FL $8.71

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.