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Autoantibody Test For An Autoimmune Condition

West 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?

$36.31

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $63.10 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$9.12 to $10.23
FacilityA hospital or hospital-owned outpatient department$63.10$33.11 to $129

How much rates vary

Facilitymedian $63 · 10th to 90th $12 to $170Professionalmedian $10 · 10th to 90th $5 to $17
$5$10$20$50$100$200facility $63professional $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
$12.02
Median
$63.10
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.77
Typical High
$16.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$28.84
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$13.49
Typical High
$58.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$51.29
Typical High
$194.98
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.50
Typical High
$12.02

Where West 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.

West Virginia· 1st of 51

$36.31

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.