go back

Gel Diffusion Test For A Specific Substance

Ohio 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?

$12.02

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $21.88 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$9.55$7.08 to $12.02
FacilityA hospital or hospital-owned outpatient department$21.88$12.88 to $34.67

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $36Professionalmedian $10 · 10th to 90th $6 to $28
$10$20$50facility $22professional $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
$11.75
Median
$28.18
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.72
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.41
Typical High
$15.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$13.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$15.49
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$22.91
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$15.85
Typical High
$45.71
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.94
Typical High
$19.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.77
Typical High
$14.79
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.59
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60

Where Ohio 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.

Ohio· 33rd of 51

$12.02

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.