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Diphtheria Antibody Blood Test

Pennsylvania 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?

$31.62

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $39.81 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$12.59$12.02 to $14.45
FacilityA hospital or hospital-owned outpatient department$39.81$31.62 to $63.10

How much rates vary

Facilitymedian $40 · 10th to 90th $15 to $98Professionalmedian $13 · 10th to 90th $12 to $26
$10.0$100.0$1.0K$10.0Kfacility $40professional $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
$16.22
Median
$39.81
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$23.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$22.91
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$19.05
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$21.88
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.98
Typical High
$26.30
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$67.61
Typical High
$234.42
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$11.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$39.81
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.88
Typical High
$44.67
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$72.44
Typical High
$147.91
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$15.14
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$15.14
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.00
Typical High
$26.30

Where Pennsylvania 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.

Pennsylvania $31.62 · 1st 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.