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Antibody Screening By Agglutination

Iowa rates for HCPCS 86403

This laboratory test checks a blood sample to see whether it contains a particular antibody, using a method where matching particles clump together if the antibody is present. It is a screening step, meaning it shows whether the antibody is present without necessarily measuring how much of it is there. Results help guide a treating clinician toward further, more specific testing when needed.

Rates data updated July 2026.

How much does Antibody Screening By Agglutination cost?

$13.80

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $20.42 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 8 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$12.02$8.91 to $26.92
FacilityA hospital or hospital-owned outpatient department$20.42$11.48 to $30.20

How much rates vary

Facilitymedian $20 · 10th to 90th $9 to $33Professionalmedian $12 · 10th to 90th $9 to $76
$10$20$50$100$200facility $20professional $12

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
$8.91
Median
$27.54
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$21.88
Typical High
$27.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$25.12
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$15.14
Typical High
$36.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$27.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.14
Typical High
$15.14
Midlands
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.48
Typical High
$26.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$11.48

Where Iowa sits

The same service costs 2.5 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 15th of 51

$13.80

NE $21.88DC $8.71

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.