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Autoantibody Test For An Autoimmune Condition

North Carolina 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?

$12.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $30.20 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 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$10.47$9.77 to $14.79
FacilityA hospital or hospital-owned outpatient department$30.20$11.48 to $87.10

How much rates vary

Facilitymedian $30 · 10th to 90th $10 to $200Professionalmedian $10 · 10th to 90th $9 to $16
$10$20$50$100$200facility $30professional $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
$9.77
Median
$33.11
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.47
Typical High
$15.85
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.59
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$25.70
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$13.49
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$12.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$7.94
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.03
Typical High
$12.02
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26

Where North Carolina 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.

North Carolina· 19th of 51

$12.88

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.