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Autoantibody Test For An Autoimmune Condition

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $209 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$10.96$10.96 to $15.14
FacilityA hospital or hospital-owned outpatient department$209$20.42 to $229

How much rates vary

Facilitymedian $209 · 10th to 90th $4 to $251Professionalmedian $11 · 10th to 90th $11 to $15
$5$10$20$50$100$200facility $209professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$16.98
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$12.02
Typical High
$18.62

Where Vermont 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.

Vermont· 40th 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.