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Actinomyces Antibody Blood Test

Rhode Island 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?

$11.75

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $30.20 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 4 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$10.72$7.59 to $10.72
FacilityA hospital or hospital-owned outpatient department$30.20$12.88 to $58.88

How much rates vary

Facilitymedian $30 · 10th to 90th $12 to $65Professionalmedian $11 · 10th to 90th $6 to $20
$10$20$50facility $30professional $11

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
$16.60
Median
$40.74
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$12.30
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.59
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$24.55
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.51
Typical High
$19.95

Where Rhode Island 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.

Rhode Island· 21st of 51

$11.75

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.