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Antibody Screening By Agglutination

New York 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?

$11.48

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $9.12 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 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$9.12$7.59 to $12.02
FacilityA hospital or hospital-owned outpatient department$20.42$11.48 to $28.84

How much rates vary

Facilitymedian $20 · 10th to 90th $8 to $35Professionalmedian $9 · 10th to 90th $5 to $21
$5$10$20$50$100facility $20professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$20.89
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.33
Typical High
$14.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.46
Typical High
$26.92
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$11.48
Typical High
$11.48
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$29.51
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$16.60
Typical High
$66.07
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$30.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$11.48
Typical High
$21.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$9.77
Typical High
$13.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.13
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.80
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$9.55
Typical High
$26.30
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.13
Typical High
$24.55
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$10.96
Typical High
$32.36

Where New York 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 York· 37th of 51

$11.48

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.