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Specialized Immune System Blood Test

South Dakota 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?

$43.65

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $42.66 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 7 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$43.65$25.12 to $87.10
FacilityA hospital or hospital-owned outpatient department$42.66$38.02 to $178

How much rates vary

Facilitymedian $43 · 10th to 90th $35 to $389Professionalmedian $44 · 10th to 90th $9 to $91
$10.0$20.0$50.0$100.0$200.0facility $43professional $44

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
$8.51
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$25.12
Typical High
$35.48
Avera
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$38.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.02
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02

Where South Dakota 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.

South Dakota $43.65 · 6th 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.