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Specific Antibody Or Protein Blood Test

West 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?

$11.48

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $46.77 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 5 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$10.23$9.77 to $28.18
FacilityA hospital or hospital-owned outpatient department$46.77$9.77 to $56.23

How much rates vary

Facilitymedian $47 · 10th to 90th $10 to $112Professionalmedian $10 · 10th to 90th $6 to $30
$10$20$50$100$200facility $47professional $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
$9.77
Median
$46.77
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$30.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$43.65
Typical High
$181.97
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$15.85
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.37
Typical High
$16.22

Where West 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.

West Virginia· 48th of 51

$11.48

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.