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Actinomyces Antibody Blood Test

New York 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?

$9.55

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $16.98 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$7.08$4.37 to $10.23
FacilityA hospital or hospital-owned outpatient department$16.98$10.23 to $25.12

How much rates vary

Facilitymedian $17 · 10th to 90th $8 to $31Professionalmedian $7 · 10th to 90th $4 to $17
$5$10$20$50facility $17professional $7

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
$8.32
Median
$17.78
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.94
Typical High
$13.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$17.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.23
Typical High
$10.23
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.23
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$22.39
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$14.79
Typical High
$66.07
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$11.75
Typical High
$22.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.08
Typical High
$19.95
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.23
Typical High
$12.88
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$10.23
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$12.30
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.31
Typical High
$22.91
Univera
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.71
Typical High
$23.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.23
Typical High
$31.62

Where New York 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 York· 38th of 51

$9.55

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.