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Autoantibody Test For An Autoimmune Condition

New Mexico 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?

$10.96

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $38.90 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$10.72$10.47 to $10.96
FacilityA hospital or hospital-owned outpatient department$38.90$18.20 to $74.13

How much rates vary

Facilitymedian $39 · 10th to 90th $11 to $100Professionalmedian $11 · 10th to 90th $9 to $14
$10$100$1K$10K$100Kfacility $39professional $11

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
$32.36
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$14.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$66.07
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.00
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$13.49
Typical High
$16.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$12.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$11.48
Typical High
$14.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$10.96
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$9.12

Where New Mexico 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 Mexico· 42nd of 51

$10.96

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.