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Autoantibody Test For An Autoimmune Condition

Illinois 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?

$12.02

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $20.89 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 6 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$10.00$8.32 to $10.96
FacilityA hospital or hospital-owned outpatient department$20.89$14.45 to $36.31

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $59Professionalmedian $10 · 10th to 90th $3 to $21
$5$10$20$50$100$200$500facility $21professional $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
$10.47
Median
$20.89
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$19.50
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$8.32
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.70
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.17
Typical High
$17.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$30.90
Typical High
$154.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$12.02
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.24
Typical High
$12.02

Where Illinois 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.

Illinois· 28th of 51

$12.02

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.