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Gel Diffusion Test For A Specific Substance

Georgia rates for HCPCS 86331

A laboratory test in which the sample and a matching testing solution are placed in separate wells cut into a gel and left to spread slowly toward each other. If the substance being looked for is present, a visible line forms in the gel where the two meet. The result is a present or absent answer, reported once for each substance the laboratory checks for.

Rates data updated July 2026.

How much does Gel Diffusion Test For A Specific Substance cost?

$11.75

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $16.22 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$10.23$7.94 to $16.60
FacilityA hospital or hospital-owned outpatient department$16.22$12.59 to $22.39

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $43Professionalmedian $10 · 10th to 90th $6 to $26
$5$10$20$50$100$200facility $16professional $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
$9.55
Median
$21.38
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.47
Typical High
$26.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.41
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$15.85
Typical High
$21.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.71
Typical High
$24.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$23.44
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$25.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$44.67
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.72
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60

Where Georgia sits

The same service costs 2.6 times more in South Dakota than in Washington, DC. 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.

Georgia· 38th of 51

$11.75

SD $22.91DC $8.91

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.