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Actinomyces Antibody Blood Test

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $28.84 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 5 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$8.71$7.94 to $12.02
FacilityA hospital or hospital-owned outpatient department$28.84$16.60 to $72.44

How much rates vary

Facilitymedian $29 · 10th to 90th $10 to $120Professionalmedian $9 · 10th to 90th $4 to $21
$10$100$1K$10Kfacility $29professional $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
$12.88
Median
$32.36
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$9.12
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$22.39
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.00
Typical High
$28.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.13
Typical High
$11.48
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.91
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$10.23
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.17
Typical High
$14.79

Where New Jersey 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.

New Jersey· 17th 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.