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Antibody Test For A Specific Infection

Vermont 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?

$20.42

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $112 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$20.42$20.42 to $20.42
FacilityA hospital or hospital-owned outpatient department$112$19.95 to $126

How much rates vary

Facilitymedian $112 · 10th to 90th $12 to $200Professionalmedian $20 · 10th to 90th $10 to $20
$5$10$20$50$100$200facility $112professional $20

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.98
Typical High
$20.42
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$14.79
Typical High
$32.36

Where Vermont 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.

Vermont· 2nd of 51

$20.42

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.