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Specific Antibody Or Protein Blood Test

Vermont 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 October 2026.

How much does Specific Antibody Or Protein Blood Test cost?

$16.98

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $63.10 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.79$7.24 to $46.77
FacilityA hospital or hospital-owned outpatient department$63.10$38.02 to $347

How much rates vary

Facilitymedian $63 · 10th to 90th $38 to $398Professionalmedian $15 · 10th to 90th $7 to $49
$10$20$50$100$200facility $63professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$48.98
Typical High
$53.70
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
United
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$7.24
Typical High
$43.65

Where Vermont sits

The same service costs 10.0 times more in Alaska than in New Jersey. 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.

Vermont· 36th of 51

$16.98

AK $85.11NJ $8.51

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.