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Gel Diffusion Test For A Specific Substance

Missouri 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?

$14.13

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $17.78 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 6 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$11.75$8.32 to $19.05
FacilityA hospital or hospital-owned outpatient department$17.78$12.02 to $26.92

How much rates vary

Facilitymedian $18 · 10th to 90th $10 to $48Professionalmedian $12 · 10th to 90th $6 to $29
$10$20$50$100$200facility $18professional $12

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
$10.47
Median
$20.89
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.75
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.23
Typical High
$31.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$24.55
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$11.22
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$26.30
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$12.02
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$16.22

Where Missouri 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.

Missouri· 20th of 51

$14.13

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.