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Autoantibody Test For An Autoimmune Condition

Iowa rates for HCPCS 86231

This blood test looks for a specific antibody that the immune system sometimes produces against the body's own tissue. It is used as part of the workup for a suspected autoimmune condition.

Rates data updated July 2026.

How much does Autoantibody Test For An Autoimmune Condition cost?

$24.55

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $26.92 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 7 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$22.91$9.33 to $30.90
FacilityA hospital or hospital-owned outpatient department$26.92$18.20 to $33.88

How much rates vary

Facilitymedian $27 · 10th to 90th $12 to $98Professionalmedian $23 · 10th to 90th $7 to $49
$5$10$20$50$100facility $27professional $23

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
$12.02
Median
$28.84
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$28.84
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.38
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$32.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$26.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$26.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02

Where Iowa sits

The same service costs 4.3 times more in West Virginia 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.

Iowa· 3rd of 51

$24.55

WV $36.31FL $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.