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Specialized Immune System Blood Test

Massachusetts 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 July 2026.

How much does Specialized Immune System Blood Test cost?

$38.02

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $34.67 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 9 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$38.02$9.77 to $38.02
FacilityA hospital or hospital-owned outpatient department$34.67$23.99 to $87.10

How much rates vary

Facilitymedian $35 · 10th to 90th $17 to $110Professionalmedian $38 · 10th to 90th $8 to $60
$5.0$20.0$100.0$500.0facility $35professional $38

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
$8.51
Median
$81.28
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.51
Typical High
$35.48
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.24
Typical High
$22.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$8.51
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$44.67
Typical High
$70.79
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$64.57
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.02
Typical High
$63.10
Health New England
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$831.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.24
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$22.39
Typical High
$38.02

Where Massachusetts sits

The same service costs 6.8 times more in North Dakota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $38.02 · 11th of 51
ND $57.54FL $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.