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Actinomyces Antibody Blood Test

Montana 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?

$12.59

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $15.14 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$12.30$12.02 to $15.14
FacilityA hospital or hospital-owned outpatient department$15.14$12.59 to $30.90

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $58Professionalmedian $12 · 10th to 90th $10 to $31
$10$100$1K$10K$100Kfacility $15professional $12

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
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.30
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$35.48
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$17.38
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.75
Typical High
$14.79
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$14.45
Typical High
$31.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.45
Typical High
$31.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$57.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$14.13

Where Montana 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.

Montana· 9th of 51

$12.59

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.