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Specialized Immune System Blood Test

Ohio 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?

$35.48

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $67.61 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$22.91$6.03 to $32.36
FacilityA hospital or hospital-owned outpatient department$67.61$39.81 to $107

How much rates vary

Facilitymedian $68 · 10th to 90th $30 to $151Professionalmedian $23 · 10th to 90th $5 to $60
$5.0$20.0$100.0$500.0facility $68professional $23

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
$30.20
Median
$83.18
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.17
Typical High
$38.90
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$43.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$45.71
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$53.70
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$45.71
Typical High
$87.10
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.05
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.90
Typical High
$45.71
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$38.02
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$28.84

Where Ohio 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.

Ohio $35.48 · 16th 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.