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Bacterial Antibody Blood Test

North Carolina rates for HCPCS 86611

This blood test checks for antibodies the immune system produces in response to a specific bacterial infection, helping determine whether someone has been exposed to or infected by that organism. It is used to support diagnosis when a particular bacterial infection is suspected based on symptoms or exposure history.

Rates data updated July 2026.

How much does Bacterial Antibody Blood Test cost?

$12.30

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $19.05 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 7 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$9.12$8.13 to $13.49
FacilityA hospital or hospital-owned outpatient department$19.05$9.12 to $33.88

How much rates vary

Facilitymedian $19 · 10th to 90th $8 to $72Professionalmedian $9 · 10th to 90th $7 to $30
$5$10$20$50$100facility $19professional $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
$8.13
Median
$19.05
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.12
Typical High
$29.51
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$27.54
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.33
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$19.50
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$15.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$17.78
Typical High
$21.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.91
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$13.49
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.08
Typical High
$14.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44

Where North Carolina sits

The same service costs 3.1 times more in Pennsylvania than in Arizona. 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.

North Carolina· 21st of 51

$12.30

PA $25.12AZ $8.13

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.