go back

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 July 2026.

How much does Unlisted Immune System Laboratory Test cost?

$178

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $186 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 9 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$50.12$50.12 to $60.26
FacilityA hospital or hospital-owned outpatient department$186$95.50 to $1,698

How much rates vary

Facilitymedian $186 · 10th to 90th $28 to $4,266Professionalmedian $50 · 10th to 90th $50 to $64,565
$10$100$1K$10Kfacility $186professional $50

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
$61.66
Median
$177.83
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$60.26
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,548.13
Typical High
$5,623.41
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$28.18
Typical High
$79.43
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$58.88
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,715.35
Typical High
$5,754.40
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$177.83
Typical High
$707.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$22.91
Typical High
$41.69
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.07
Typical High
$4.07
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02

Where Pennsylvania sits

The same service costs 371.5 times more in Virginia 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· 15th of 51

$178

VA $389KY $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.