go back

Autoantibody Test For An Autoimmune Condition

Indiana 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 Indiana, 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 $23.99 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$10.00 to $11.22
FacilityA hospital or hospital-owned outpatient department$23.99$12.02 to $47.86

How much rates vary

Facilitymedian $24 · 10th to 90th $12 to $234Professionalmedian $10 · 10th to 90th $7 to $15
$5$10$20$50$100$200facility $24professional $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
$10.00
Median
$37.15
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.00
Typical High
$11.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.46
Typical High
$7.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$12.02
Typical High
$18.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$19.95
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$11.48
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.24
Typical High
$13.18

Where Indiana 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.

Indiana· 30th 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.