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Antibody Test for an Unspecified Bacterial Infection

Virginia rates for HCPCS 86609

This blood test looks for antibodies the immune system produces in response to a bacterial infection, used when the specific bacteria being investigated does not have a standard named test of its own. It helps support a diagnosis when a more targeted antibody test is not available for the suspected organism.

Rates data updated July 2026.

How much does Antibody Test for an Unspecified Bacterial Infection cost?

$12.30

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $24.55 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$9.55$9.55 to $12.02
FacilityA hospital or hospital-owned outpatient department$24.55$12.88 to $35.48

How much rates vary

Facilitymedian $25 · 10th to 90th $12 to $78Professionalmedian $10 · 10th to 90th $6 to $35
$10$100$1K$10Kfacility $25professional $10

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
$12.02
Median
$31.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.00
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$10.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$19.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$21.38
Typical High
$25.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$15.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$15.14
Typical High
$26.92
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$21.88
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$12.88
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.76
Typical High
$13.49

Where Virginia sits

The same service costs 2.6 times more in South Dakota 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· 38th of 51

$12.30

SD $24.55DC $9.55

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.