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Actinomyces Antibody Blood Test

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $13.80 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 8 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$7.59$7.59 to $9.55
FacilityA hospital or hospital-owned outpatient department$13.80$10.23 to $28.18

How much rates vary

Facilitymedian $14 · 10th to 90th $10 to $62Professionalmedian $8 · 10th to 90th $5 to $28
$10$100$1K$10Kfacility $14professional $8

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
$9.55
Median
$25.12
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$19.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$7.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$47.86
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$24.55
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.41
Typical High
$17.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$15.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.98
Typical High
$19.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$12.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$12.02
Typical High
$21.38
Sentara
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$16.60
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$17.38
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$10.23
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.17
Typical High
$10.72

Where Virginia 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.

Virginia· 34th 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.