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Specialized Immune System Blood Test

Rhode Island 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?

$12.02

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $8.91 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 4 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$8.91$8.91 to $19.50
FacilityA hospital or hospital-owned outpatient department$34.67$13.80 to $45.71

How much rates vary

Facilitymedian $35 · 10th to 90th $12 to $55Professionalmedian $9 · 10th to 90th $7 to $28
$10.0$20.0$50.0facility $35professional $9

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$10.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$17.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$43.65
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.24
Typical High
$19.50

Where Rhode Island 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.

Rhode Island $12.02 · 46th 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.