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Antibody Test For A Specific Infection

Kentucky 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?

$9.55

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $12.30 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 5 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$5.89 to $10.96
FacilityA hospital or hospital-owned outpatient department$12.30$9.77 to $28.18

How much rates vary

Facilitymedian $12 · 10th to 90th $10 to $65Professionalmedian $10 · 10th to 90th $6 to $16
$5$10$20$50$100$200facility $12professional $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
$9.77
Median
$12.88
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$28.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.75
Typical High
$12.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$16.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$16.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$25.12
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$11.75
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$10.00
Typical High
$16.60

Where Kentucky 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.

Kentucky· 47th of 51

$9.55

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.