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Antibody Test For A Specific Infection

West 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?

$9.77

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $16.98 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$8.91 to $9.77
FacilityA hospital or hospital-owned outpatient department$16.98$14.79 to $16.98

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $18Professionalmedian $10 · 10th to 90th $6 to $11
$10$20$50facility $17professional $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
$9.77
Median
$16.98
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$11.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$25.12
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$22.91
Typical High
$79.43
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.89
Typical High
$16.60

Where West 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.

West Virginia· 46th of 51

$9.77

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.