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Actinomyces Antibody Blood Test

South Dakota 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?

$12.02

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 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 6 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$12.02$9.12 to $20.89
FacilityA hospital or hospital-owned outpatient department$11.48$10.23 to $15.49

How much rates vary

Facilitymedian $11 · 10th to 90th $7 to $59Professionalmedian $12 · 10th to 90th $7 to $26
$5$10$20$50$100facility $11professional $12

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.12
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$24.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$58.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.08
Typical High
$14.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$24.55
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$9.12
Typical High
$14.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23

Where South Dakota 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.

South Dakota· 20th of 51

$12.02

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.