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Diphtheria Antibody Blood Test

Massachusetts rates for HCPCS 86648

A blood test that checks for antibodies the immune system makes in response to diphtheria, a serious bacterial infection that can affect the throat and airway. It helps determine whether a person has been previously exposed to diphtheria or has developed immunity, such as after vaccination. A blood sample is drawn and sent to the lab for antibody analysis.

Rates data updated July 2026.

How much does Diphtheria Antibody Blood Test cost?

$16.60

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $34.67 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 9 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$15.14$13.49 to $20.42
FacilityA hospital or hospital-owned outpatient department$34.67$21.38 to $46.77

How much rates vary

Facilitymedian $35 · 10th to 90th $14 to $78Professionalmedian $15 · 10th to 90th $9 to $37
$10.0$100.0$1.0K$10.0Kfacility $35professional $15

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
$15.14
Median
$33.88
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.80
Typical High
$43.65
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$87.10
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$15.14
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$23.99
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$17.38
Typical High
$39.81
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$57.54
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$25.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$33.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$91.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$87.10
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$15.14
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$15.14
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$13.80
Typical High
$38.90

Where Massachusetts sits

The same service costs 2.8 times more in Pennsylvania than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $16.60 · 26th of 51
PA $31.62DC $11.48

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.