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Diphtheria Antibody Blood Test

Maine 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?

$15.14

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $24.55 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 6 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$13.18$11.48 to $15.14
FacilityA hospital or hospital-owned outpatient department$24.55$15.14 to $67.61

How much rates vary

Facilitymedian $25 · 10th to 90th $15 to $91Professionalmedian $13 · 10th to 90th $8 to $19
$5.0$10.0$20.0$50.0$100.0facility $25professional $13

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
$15.14
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.30
Typical High
$15.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$91.20
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$21.38
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$21.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.14
Typical High
$18.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$67.61
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.14
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$15.14
Typical High
$28.84

Where Maine 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.

Maine $15.14 · 33rd 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.