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Celiac Disease Antibody Blood Test

South Dakota 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?

$42.66

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $64.57 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$11.22$10.00 to $44.67
FacilityA hospital or hospital-owned outpatient department$64.57$44.67 to $70.79

How much rates vary

Facilitymedian $65 · 10th to 90th $43 to $151Professionalmedian $11 · 10th to 90th $9 to $74
$10$20$50$100$200facility $65professional $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
$42.66
Median
$64.57
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$74.13
Avera
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$21.88
Avera
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$20.89
Typical High
$22.39
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
$60.26
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
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
$5.01
Median
$7.24
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 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.

South Dakota· 2nd of 51

$42.66

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.