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Diphtheria Antibody Blood Test

New Jersey 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?

$18.20

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $43.65 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$12.88$11.48 to $17.38
FacilityA hospital or hospital-owned outpatient department$43.65$22.91 to $89.13

How much rates vary

Facilitymedian $44 · 10th to 90th $14 to $166Professionalmedian $13 · 10th to 90th $7 to $30
$10$100$1K$10Kfacility $44professional $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
$19.05
Median
$48.98
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.88
Typical High
$29.51
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$33.11
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.79
Typical High
$42.66
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.59
Typical High
$16.98
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.49
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$15.14
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$21.38

Where New Jersey sits

The same service costs 2.8 times more in Pennsylvania 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.

New Jersey· 14th of 51

$18.20

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.