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Antibody Test For A Specific Infection

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $8.91 from a physician practice, and about $17.78 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$8.91$8.51 to $11.22
FacilityA hospital or hospital-owned outpatient department$17.78$11.75 to $30.90

How much rates vary

Facilitymedian $18 · 10th to 90th $11 to $68Professionalmedian $9 · 10th to 90th $6 to $23
$10$100$1K$10Kfacility $18professional $9

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
$28.84
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.12
Typical High
$22.39
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$9.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$48.98
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$28.84
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.51
Typical High
$20.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$17.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$19.95
Typical High
$22.91
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$14.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$14.13
Typical High
$24.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$16.98
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.60
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$11.75
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.17
Typical High
$10.23

Where Virginia 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.

Virginia· 34th 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.