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Antibody Screening By Agglutination

Utah 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?

$12.30

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $69.18 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$9.33 to $12.88
FacilityA hospital or hospital-owned outpatient department$69.18$22.91 to $95.50

How much rates vary

Facilitymedian $69 · 10th to 90th $13 to $100Professionalmedian $10 · 10th to 90th $9 to $13
$10$20$50$100$200$500facility $69professional $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
$12.88
Median
$77.62
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.96
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.92
Typical High
$19.50
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$46.77
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.77
Typical High
$10.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$15.14
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.96
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.51
Typical High
$14.13

Where Utah 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.

Utah· 27th of 51

$12.30

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.