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Antibody Test For A Specific Infection

Iowa rates for HCPCS 86631

This blood test checks for antibodies produced by the immune system in response to a particular infectious organism. Finding these antibodies usually indicates past or current exposure to that organism, which can help a clinician confirm a suspected diagnosis. It is ordered when a specific infection is being considered based on a patient's symptoms or history.

Rates data updated July 2026.

How much does Antibody Test For A Specific Infection cost?

$14.13

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $20.89 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$11.75$9.12 to $28.18
FacilityA hospital or hospital-owned outpatient department$20.89$11.75 to $30.90

How much rates vary

Facilitymedian $21 · 10th to 90th $9 to $34Professionalmedian $12 · 10th to 90th $8 to $78
$10$20$50facility $21professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$28.18
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.12
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$22.91
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$21.38
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$15.49
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$13.49
Typical High
$30.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.49
Typical High
$15.49
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.00
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.75
Typical High
$11.75

Where Iowa 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.

Iowa· 16th of 51

$14.13

HI $21.38DC $8.91

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.