go back

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 October 2026.

How much does Specific Antibody Or Protein Blood Test cost?

$16.22

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $93.33 from a hospital or other facility.

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$10.23$5.37 to $16.98
FacilityA hospital or hospital-owned outpatient department$93.33$51.29 to $138

How much rates vary

Facilitymedian $93 · 10th to 90th $22 to $195Professionalmedian $10 · 10th to 90th $5 to $22
$5$10$20$50$100$200$500facility $93professional $10

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
Facility
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$10.23
CareSource
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
CareSource
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$74.13
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.60
Typical High
$181.97
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$630.96
United
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$6.03
Typical High
$22.39

Where West Virginia 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.

West Virginia· 38th of 51

$16.22

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.