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Autoantibody Test For An Autoimmune Condition

New Jersey 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 New Jersey, 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 $26.92 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$10.00$7.94 to $10.47
FacilityA hospital or hospital-owned outpatient department$26.92$15.85 to $72.44

How much rates vary

Facilitymedian $27 · 10th to 90th $12 to $229Professionalmedian $10 · 10th to 90th $6 to $11
$10$100$1K$10Kfacility $27professional $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
$12.02
Median
$31.62
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.00
Typical High
$11.22
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.59
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$36.31
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$26.92
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$12.88
Typical High
$18.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$7.24
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.77
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.24
Typical High
$12.02

Where New Jersey 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.

New Jersey· 25th 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.