go back

Antibody Test For A Specific Infection

Maine 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?

$11.75

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.75 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 6 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$9.55 to $14.13
FacilityA hospital or hospital-owned outpatient department$19.05$11.75 to $52.48

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $110Professionalmedian $12 · 10th to 90th $7 to $15
$5$10$20$50$100facility $19professional $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
$11.75
Median
$11.75
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$14.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$109.65
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.76
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$16.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$14.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$53.70
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$11.75
Typical High
$23.99

Where Maine 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.

Maine· 25th of 51

$11.75

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.