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Actinomyces Antibody Blood Test

Iowa rates for HCPCS 86602

A blood test that looks for antibodies the immune system makes against Actinomyces, a bacterium that normally lives harmlessly in the mouth and gut but can cause a slow, spreading infection in the jaw, neck, chest, or abdomen. A positive result supports that diagnosis alongside imaging and cultures.

Rates data updated July 2026.

How much does Actinomyces Antibody Blood Test cost?

$12.30

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $18.20 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 7 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$10.23$7.76 to $24.55
FacilityA hospital or hospital-owned outpatient department$18.20$10.23 to $26.92

How much rates vary

Facilitymedian $18 · 10th to 90th $8 to $30Professionalmedian $10 · 10th to 90th $6 to $68
$10$20$50$100facility $18professional $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
$7.76
Median
$23.99
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.76
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.50
Typical High
$24.55
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$16.98
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$27.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$11.22
Typical High
$25.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.49
Typical High
$13.49
Midlands
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.17
Typical High
$24.55
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.23
Typical High
$10.23

Where Iowa sits

The same service costs 2.4 times more in Hawaii 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· 11th of 51

$12.30

HI $18.20DC $7.59

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.