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Coccidioides (Valley Fever) Antibody Test

South Dakota rates for HCPCS 86635

This blood test looks for antibodies against Coccidioides, a fungus found in soil in parts of the southwestern United States and other dry regions, that causes an illness commonly called Valley Fever. It's ordered when someone has a lingering cough, fever, or chest symptoms and has lived in or traveled through an area where the fungus is common. A positive result helps confirm the diagnosis so appropriate treatment can be started.

Rates data updated July 2026.

How much does Coccidioides (Valley Fever) Antibody Test cost?

$31.62

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $60.26 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 7 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$21.88$10.47 to $61.66
FacilityA hospital or hospital-owned outpatient department$60.26$38.02 to $70.79

How much rates vary

Facilitymedian $60 · 10th to 90th $22 to $98Professionalmedian $22 · 10th to 90th $8 to $74
$10$20$50$100facility $60professional $22

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
$38.02
Median
$69.18
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$61.66
Typical High
$74.13
Avera
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$11.75
Typical High
$17.38
Avera
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.88
Typical High
$27.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$69.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$15.85
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$27.54
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.23
Typical High
$15.85
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48

Where South Dakota sits

The same service costs 3.7 times more in South Dakota 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 Dakota· 1st of 51

$31.62

SD $31.62DC $8.51

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.