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Specialized Immune System Blood Test

Connecticut rates for HCPCS 86363

A laboratory blood test that measures a specific antibody or immune-related marker, typically ordered to help evaluate an autoimmune, allergic, or immune system condition. The result is one piece of a broader workup rather than a stand-alone diagnosis. A clinician interprets it alongside symptoms and other test results.

Rates data updated October 2026.

How much does Specialized Immune System Blood Test cost?

$19.05

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $19.05 for this service. Most negotiated rates run $12.02 to $28.84.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $9 to $91Professionalmedian $19 · 10th to 90th $7 to $33
$5$10$20$50$100facility $35professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$45.71
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$34.67
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$19.05
Typical High
$27.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.46
Median
$24.55
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$41.69
Typical High
$66.07
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$26.30
Typical High
$54.95
United
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$9.12
Typical High
$50.12
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.98
Median
$3.98
Typical High
$4.27
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.58
Median
$1.58
Typical High
$1.70

Where Connecticut sits

The same service costs 10.0 times more in Alaska than in New Jersey. 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.

Connecticut· 30th of 51

$19.05

AK $85.11NJ $8.51

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.