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Antibody Test For A Specific Infection

North Carolina 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 North Carolina, 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 $12.59 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$9.55$9.33 to $13.49
FacilityA hospital or hospital-owned outpatient department$12.59$10.23 to $26.30

How much rates vary

Facilitymedian $13 · 10th to 90th $10 to $40Professionalmedian $10 · 10th to 90th $8 to $15
$5$10$20$50facility $13professional $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
$9.55
Median
$11.22
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.55
Typical High
$15.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$51.29
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.32
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$23.44
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.32
Typical High
$18.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$25.70
Typical High
$40.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.72
Typical High
$22.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$15.49
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.32
Typical High
$16.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$72.44

Where North Carolina 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.

North Carolina· 48th 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.