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Antibody Screening By Agglutination

New Jersey 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?

$19.95

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $48.98 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 6 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$10.47$8.71 to $14.45
FacilityA hospital or hospital-owned outpatient department$48.98$19.95 to $112

How much rates vary

Facilitymedian $49 · 10th to 90th $14 to $182Professionalmedian $10 · 10th to 90th $8 to $32
$10$100$1K$10Kfacility $49professional $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
$14.79
Median
$53.70
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.72
Typical High
$32.36
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$87.10
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$25.12
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.23
Typical High
$28.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.75
Typical High
$11.75
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.23
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$11.48
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$14.45

Where New Jersey 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.

New Jersey· 2nd of 51

$19.95

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.