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Antibody Screening By Agglutination

South Dakota 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?

$13.49

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $21.88 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$13.18$9.33 to $22.91
FacilityA hospital or hospital-owned outpatient department$21.88$21.38 to $21.88

How much rates vary

Facilitymedian $22 · 10th to 90th $13 to $22Professionalmedian $13 · 10th to 90th $8 to $28
$10$20$50$100facility $22professional $13

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
$8.13
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.88
Typical High
$27.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$15.49
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.22
Typical High
$14.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$27.54
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.22
Typical High
$15.14
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48

Where South Dakota 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.

South Dakota· 20th of 51

$13.49

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.