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Specialized Immune System Blood Test

Pennsylvania 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?

$17.78

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $35.48 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$9.77$9.55 to $12.02
FacilityA hospital or hospital-owned outpatient department$35.48$18.62 to $53.70

How much rates vary

Facilitymedian $35 · 10th to 90th $10 to $145Professionalmedian $10 · 10th to 90th $8 to $38
$10.0$100.0$1.0K$10.0Kfacility $35professional $10

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
$10.23
Median
$30.20
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$35.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$58.88
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$29.51
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$47.86
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$34.67
Typical High
$56.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$17.78
Typical High
$54.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$32.36
Typical High
$66.07
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$64.57
Typical High
$190.55
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$30.90
Typical High
$141.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$52.48
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$38.02
Typical High
$93.33
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$38.02
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.12
Typical High
$25.12

Where Pennsylvania 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.

Pennsylvania $17.78 · 35th 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.