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Antibody Test For A Specific Infection

South 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?

$10.23

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $38.02 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$9.12 to $10.47
FacilityA hospital or hospital-owned outpatient department$38.02$16.60 to $57.54

How much rates vary

Facilitymedian $38 · 10th to 90th $9 to $78Professionalmedian $10 · 10th to 90th $9 to $17
$10$20$50$100facility $38professional $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
$9.12
Median
$28.84
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$12.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$57.54
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$22.91
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$38.90
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$16.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$13.80
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$11.75
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.13
Typical High
$16.60

Where South 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.

South Carolina· 43rd of 51

$10.23

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.