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Autoantibody Test For An Autoimmune Condition

Maryland 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?

$10.47

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $28.84 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$10.47$8.91 to $10.96
FacilityA hospital or hospital-owned outpatient department$28.84$8.91 to $31.62

How much rates vary

Facilitymedian $29 · 10th to 90th $7 to $42Professionalmedian $10 · 10th to 90th $7 to $12
$10$20$50$100facility $29professional $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
$6.61
Median
$28.84
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$11.22
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.71
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$8.32
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$8.91
Typical High
$20.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.75
Typical High
$9.12
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.75
Typical High
$11.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$8.32
Typical High
$18.20

Where Maryland 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.

Maryland· 48th of 51

$10.47

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.