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Diphtheria Antibody Blood Test

Vermont 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?

$16.98

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $75.86 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 5 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$16.98$16.98 to $16.98
FacilityA hospital or hospital-owned outpatient department$75.86$15.14 to $166

How much rates vary

Facilitymedian $76 · 10th to 90th $5 to $174Professionalmedian $17 · 10th to 90th $11 to $22
$10$20$50$100facility $76professional $17

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$21.88
Typical High
$26.30
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$19.05
Typical High
$41.69

Where Vermont 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.

Vermont· 23rd of 51

$16.98

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.