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Specialized Immune System Blood Test

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $74.13 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 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$24.55$9.77 to $38.02
FacilityA hospital or hospital-owned outpatient department$74.13$38.02 to $93.33

How much rates vary

Facilitymedian $74 · 10th to 90th $38 to $117Professionalmedian $25 · 10th to 90th $7 to $46
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $74professional $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
$38.02
Median
$61.66
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$15.14
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.02
Typical High
$53.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$38.02
Typical High
$45.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$29.51
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$17.38
Typical High
$40.74

Where Maine 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.

Maine $38.02 · 12th 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.