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Actinomyces Antibody Blood Test

North Carolina 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?

$9.12

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $11.48 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$8.51$8.13 to $12.30
FacilityA hospital or hospital-owned outpatient department$11.48$8.71 to $23.99

How much rates vary

Facilitymedian $11 · 10th to 90th $8 to $50Professionalmedian $9 · 10th to 90th $7 to $15
$5$10$20$50$100facility $11professional $9

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
$11.22
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.12
Typical High
$15.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.08
Typical High
$7.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.33
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$19.50
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$15.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$21.88
Typical High
$39.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$13.49
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.08
Typical High
$14.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where North Carolina 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.

North Carolina· 39th of 51

$9.12

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.