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Specific Antibody Or Protein Blood Test

Pennsylvania 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?

$25.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $9.77 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 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$9.77$9.55 to $13.18
FacilityA hospital or hospital-owned outpatient department$51.29$23.44 to $115

How much rates vary

Facilitymedian $51 · 10th to 90th $10 to $200Professionalmedian $10 · 10th to 90th $8 to $38
$10$20$50$100$200$500$1Kfacility $51professional $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
$10.23
Median
$52.48
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$35.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$58.88
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$29.51
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$47.86
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$34.67
Typical High
$56.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$17.78
Typical High
$54.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$32.36
Typical High
$66.07
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$66.07
Typical High
$173.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$51.29
Typical High
$208.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$52.48
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$38.02
Typical High
$93.33
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$33.11
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$38.02
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.12
Typical High
$25.12

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$25.12

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.