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Antibody Test For An Unspecified Virus

New Jersey rates for HCPCS 86790

This blood test looks for antibodies the immune system has made in response to a viral infection that does not have its own dedicated, individually named test available. It helps confirm that a person's immune system has responded to a specific virus when a more targeted test is not applicable. Results support a doctor in diagnosing or confirming past exposure to that virus.

Rates data updated July 2026.

How much does Antibody Test For An Unspecified Virus cost?

$16.60

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $52.48 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$11.48$10.00 to $14.79
FacilityA hospital or hospital-owned outpatient department$52.48$25.12 to $95.50

How much rates vary

Facilitymedian $52 · 10th to 90th $17 to $178Professionalmedian $11 · 10th to 90th $7 to $19
$10$100$1K$10Kfacility $52professional $11

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
$52.48
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.48
Typical High
$18.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.30
Typical High
$35.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.46
Typical High
$14.45
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.88
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.76
Typical High
$18.62

Where New Jersey sits

The same service costs 9.5 times more in West Virginia than in Tennessee. 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

$16.60

WV $97.72TN $10.23

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.