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West Nile Virus Antibody Test, IgM

Vermont 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?

$25.12

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $110 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$25.12$25.12 to $25.12
FacilityA hospital or hospital-owned outpatient department$110$91.20 to $135

How much rates vary

Facilitymedian $110 · 10th to 90th $17 to $240Professionalmedian $25 · 10th to 90th $13 to $25
$10$20$50$100$200facility $110professional $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. 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
$25.12
Median
$25.12
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.91
Typical High
$26.30
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$20.89
Typical High
$45.71

Where Vermont 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.

Vermont· 8th of 51

$25.12

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.