go back

West Nile Virus Antibody Test, IgM

New Jersey 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?

$21.38

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $47.86 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 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$14.45$12.59 to $19.50
FacilityA hospital or hospital-owned outpatient department$47.86$32.36 to $105

How much rates vary

Facilitymedian $48 · 10th to 90th $19 to $195Professionalmedian $14 · 10th to 90th $8 to $32
$10$100$1K$10Kfacility $48professional $14

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
$21.38
Median
$47.86
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$32.36
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$102.33
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$37.15
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$46.77
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.13
Typical High
$19.05
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$16.98
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.00
Typical High
$23.44

Where New Jersey 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.

New Jersey· 11th of 51

$21.38

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.