go back

Antibody Test For An Unspecified Virus

South Dakota 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?

$16.98

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $32.36 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$11.75$10.00 to $24.55
FacilityA hospital or hospital-owned outpatient department$32.36$24.55 to $64.57

How much rates vary

Facilitymedian $32 · 10th to 90th $19 to $65Professionalmedian $12 · 10th to 90th $9 to $31
$10$20$50$100facility $32professional $12

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
$32.36
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.48
Typical High
$12.02
Avera
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.18
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$81.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.76
Typical High
$18.20
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.20
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$11.48
Typical High
$18.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88

Where South Dakota 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.

South Dakota· 8th of 51

$16.98

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.