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Autoantibody Test For An Autoimmune Condition

South 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?

$11.75

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $29.51 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 5 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$9.77$9.33 to $12.59
FacilityA hospital or hospital-owned outpatient department$29.51$14.45 to $40.74

How much rates vary

Facilitymedian $30 · 10th to 90th $9 to $58Professionalmedian $10 · 10th to 90th $9 to $26
$10$20$50$100facility $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
$9.33
Median
$29.51
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.77
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.45
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$39.81
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.23
Typical High
$16.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.96
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.24
Typical High
$14.45

Where South 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.

South Carolina· 32nd of 51

$11.75

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.