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Diphtheria Antibody Blood Test

South Dakota 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?

$27.54

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $28.84 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$25.12$11.75 to $36.31
FacilityA hospital or hospital-owned outpatient department$28.84$28.18 to $28.84

How much rates vary

Facilitymedian $29 · 10th to 90th $17 to $29Professionalmedian $25 · 10th to 90th $10 to $42
$10$20$50facility $29professional $25

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
$10.72
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.75
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$64.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$21.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$36.31
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.80
Typical High
$21.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14

Where South Dakota 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.

South Dakota· 3rd of 51

$27.54

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.