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Specialized Protein Pattern Test

New Jersey rates for HCPCS 86335

This laboratory test separates and analyzes different proteins in a body fluid sample, such as urine or cerebrospinal fluid, using an electrical field and a specialized electrophoresis technique to produce a detailed pattern showing the types and relative amounts of specific proteins present. It is a more advanced technique than a basic protein separation test and is used to investigate certain immune or protein-related conditions.

Rates data updated July 2026.

How much does Specialized Protein Pattern Test cost?

$38.90

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $89.13 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$25.12$21.88 to $32.36
FacilityA hospital or hospital-owned outpatient department$89.13$46.77 to $135

How much rates vary

Facilitymedian $89 · 10th to 90th $30 to $269Professionalmedian $25 · 10th to 90th $20 to $35
$10.0$100.0$1.0K$10.0Kfacility $89professional $25

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
$30.90
Median
$89.13
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.30
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$309.03
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$34.67
Typical High
$117.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$33.11
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$26.30
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.78
Typical High
$38.90

Where New Jersey sits

The same service costs 3.0 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $38.90 · 16th of 51
NE $75.86DC $25.70

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.