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Autoantibody Test For An Autoimmune Condition

Rhode Island 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?

$13.80

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $8.91 from a physician practice, and about $35.48 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 4 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$8.91$8.91 to $9.12
FacilityA hospital or hospital-owned outpatient department$35.48$14.45 to $64.57

How much rates vary

Facilitymedian $35 · 10th to 90th $14 to $69Professionalmedian $9 · 10th to 90th $6 to $12
$10$20$50$100facility $35professional $9

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
$14.45
Median
$54.95
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.91
Typical High
$10.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$15.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.12
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$13.49
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.41
Typical High
$17.38

Where Rhode Island 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.

Rhode Island· 18th of 51

$13.80

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.