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Celiac Disease Antibody Blood Test

New Jersey rates for HCPCS 86258

This blood test looks for a specific antibody associated with celiac disease, an autoimmune reaction to gluten. The result is typically interpreted alongside a patient's symptoms and other test findings, such as dietary history.

Rates data updated July 2026.

How much does Celiac Disease Antibody Blood Test cost?

$12.88

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $28.84 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$9.77$7.59 to $10.00
FacilityA hospital or hospital-owned outpatient department$28.84$15.14 to $52.48

How much rates vary

Facilitymedian $29 · 10th to 90th $11 to $135Professionalmedian $10 · 10th to 90th $6 to $10
$10$100$1K$10Kfacility $29professional $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
$30.20
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$9.77
Typical High
$10.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.59
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$35.48
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$26.92
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$12.88
Typical High
$18.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$7.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$9,772.37
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.51
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$11.48
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$12.02

Where New Jersey sits

The same service costs 6.8 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.

New Jersey· 23rd of 51

$12.88

WV $58.88FL $8.71

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.