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Antibody Test For A Specific Infection

Ohio 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?

$11.22

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $19.95 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 8 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$6.92 to $11.48
FacilityA hospital or hospital-owned outpatient department$19.95$12.59 to $33.88

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $37Professionalmedian $10 · 10th to 90th $6 to $22
$10$20$50facility $20professional $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
$11.22
Median
$26.30
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.55
Typical High
$29.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$15.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$13.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$15.49
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$22.91
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$15.49
Typical High
$48.98
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.94
Typical High
$19.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$14.79
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.30
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$11.75
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60

Where Ohio 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.

Ohio· 33rd of 51

$11.22

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.