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Autoantibody Test For An Autoimmune Condition

Montana 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?

$15.14

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $18.20 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$13.80$10.72 to $16.22
FacilityA hospital or hospital-owned outpatient department$18.20$15.14 to $57.54

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $229Professionalmedian $14 · 10th to 90th $10 to $79
$10$100$1K$10K$100Kfacility $18professional $14

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
$18.20
Median
$57.54
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$41.69
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.98
Typical High
$17.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$36.31
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$36.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$12.02

Where Montana 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.

Montana· 12th of 51

$15.14

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.