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Actinomyces Antibody Blood Test

Massachusetts 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?

$11.22

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $25.12 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$10.23$9.33 to $15.49
FacilityA hospital or hospital-owned outpatient department$25.12$14.45 to $30.90

How much rates vary

Facilitymedian $25 · 10th to 90th $9 to $44Professionalmedian $10 · 10th to 90th $8 to $30
$10$50$200$1Kfacility $25professional $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
$9.33
Median
$23.44
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.33
Typical High
$43.65
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$14.45
Typical High
$89.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$10.23
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$16.22
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.23
Typical High
$26.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$46.77
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$29.51
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$21.38
Typical High
$41.69
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$14.45
Typical High
$89.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$10.23
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$10.23
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$9.12
Typical High
$25.70

Where Massachusetts 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.

Massachusetts· 26th of 51

$11.22

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.