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Autoantibody Test For An Autoimmune Condition

South Dakota 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?

$22.91

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $57.54 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$11.48$10.47 to $28.18
FacilityA hospital or hospital-owned outpatient department$57.54$56.23 to $57.54

How much rates vary

Facilitymedian $58 · 10th to 90th $30 to $59Professionalmedian $11 · 10th to 90th $8 to $60
$10$20$50$100$200facility $58professional $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
$56.23
Median
$57.54
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.72
Typical High
$60.26
Avera
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$22.91
Avera
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$28.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$22.39
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$14.45
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$10.96
Typical High
$15.85
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02

Where South Dakota 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 Dakota· 6th of 51

$22.91

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.