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Specific Antibody Or Protein Blood Test

Virginia 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?

$28.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $38.02 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 8 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$19.50$9.55 to $28.18
FacilityA hospital or hospital-owned outpatient department$38.02$26.92 to $57.54

How much rates vary

Facilitymedian $38 · 10th to 90th $10 to $120Professionalmedian $19 · 10th to 90th $5 to $30
$10$100$1K$10Kfacility $38professional $19

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
$29.51
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$28.18
Typical High
$29.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$22.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$40.74
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$74.13
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.37
Median
$20.42
Typical High
$43.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$56.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$25.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$16.60
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$16.60
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.31
Typical High
$15.85

Where Virginia 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.

Virginia· 31st of 51

$28.18

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.