go back

Actinomyces Antibody Blood Test

Pennsylvania 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?

$10.23

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $25.70 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$8.71$8.32 to $12.30
FacilityA hospital or hospital-owned outpatient department$25.70$12.30 to $38.90

How much rates vary

Facilitymedian $26 · 10th to 90th $9 to $59Professionalmedian $9 · 10th to 90th $8 to $15
$5$10$20$50$100facility $26professional $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
$8.71
Median
$25.70
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.71
Typical High
$13.49
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$15.49
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.88
Typical High
$24.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$8.13
Typical High
$14.79
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$17.78
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$35.48
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$8.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$25.70
Typical High
$44.67
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.12
Typical High
$25.70
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$56.23
Typical High
$95.50
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$10.23
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.76
Typical High
$17.78

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$10.23

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.