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West Nile Virus Antibody Test, IgM

Iowa rates for HCPCS 86788

This blood test looks for a type of antibody the immune system makes early during a West Nile virus infection. A positive result suggests a recent infection, since this particular antibody type tends to fade over time. It's ordered when someone has symptoms consistent with West Nile virus, such as fever and headache, especially after a mosquito bite in an area where the virus is present.

Rates data updated July 2026.

How much does West Nile Virus Antibody Test, IgM cost?

$24.55

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $37.15 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 7 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$16.22$12.88 to $40.74
FacilityA hospital or hospital-owned outpatient department$37.15$21.88 to $48.98

How much rates vary

Facilitymedian $37 · 10th to 90th $17 to $112Professionalmedian $16 · 10th to 90th $11 to $112
$10$20$50$100facility $37professional $16

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
$16.98
Median
$39.81
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$40.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$52.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$43.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.39
Typical High
$22.39
Midlands
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$42.66
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$16.98

Where Iowa sits

The same service costs 5.0 times more in South Dakota 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.

Iowa· 9th of 51

$24.55

SD $63.10DC $12.59

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.