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Autoantibody Test For An Autoimmune Condition

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $22.91 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 8 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$9.12$9.12 to $10.47
FacilityA hospital or hospital-owned outpatient department$22.91$12.02 to $47.86

How much rates vary

Facilitymedian $23 · 10th to 90th $10 to $123Professionalmedian $9 · 10th to 90th $5 to $13
$10$100$1K$10Kfacility $23professional $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
$10.23
Median
$26.92
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.77
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$8.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$40.74
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$23.99
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$6.76
Typical High
$13.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$17.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$25.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.79
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.79
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$12.02
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.03
Typical High
$9.12

Where Virginia 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.

Virginia· 39th 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.