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Antibody Test For A Specific Infection

Pennsylvania 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?

$15.14

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $25.12 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 9 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$9.77$9.33 to $11.22
FacilityA hospital or hospital-owned outpatient department$25.12$17.38 to $46.77

How much rates vary

Facilitymedian $25 · 10th to 90th $10 to $56Professionalmedian $10 · 10th to 90th $9 to $18
$10$20$50$100$200facility $25professional $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
$10.00
Median
$25.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$18.20
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$17.78
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$15.14
Typical High
$28.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$16.98
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$20.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$31.62
Typical High
$51.29
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$27.54
Typical High
$56.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.00
Typical High
$29.51
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$67.61
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.75
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$11.75
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.41
Typical High
$19.95

Where Pennsylvania 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.

Pennsylvania· 7th of 51

$15.14

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.