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Unlisted Immune System Laboratory Test

Pennsylvania rates for HCPCS 86849

Covers a laboratory test of the immune system when the test performed has no standard named entry of its own. A blood or other sample is examined for immune-related substances such as antibodies or cell markers. The laboratory sets out in a written report exactly which test was run.

Rates data updated October 2026.

How much does Unlisted Immune System Laboratory Test cost?

$38.02

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $813 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.07$3.98 to $4.07
FacilityA hospital or hospital-owned outpatient department$813$23.99 to $3,715

How much rates vary

Facilitymedian $813 · 10th to 90th $7 to $5,495Professionalmedian $4 · 10th to 90th $4 to $4
$10$100$1K$10Kfacility $813professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$3,715.35
Typical High
$5,623.41
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$23.99
Typical High
$102.33
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$35.48
Typical High
$165.96
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$38.02
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$3,019.95
Typical High
$5,623.41
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$19.95
Typical High
$33.88
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$4.07

Where Pennsylvania sits

The same service costs 3311.3 times more in New Jersey than in Kentucky. 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.

Pennsylvania· 37th of 50

$38.02

NJ $3,467KY $1.05

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.