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Red Cell Preparation For Antibody Testing

Pennsylvania rates for HCPCS 86972

A preparation step used in blood-bank testing. Red blood cells from a sample are treated in the laboratory to remove something that would otherwise interfere, so that antibody detection or compatibility testing can give a clear answer. It is performed when a straightforward test is being confused by other material in the sample.

Rates data updated July 2026.

How much does Red Cell Preparation For Antibody Testing cost?

$31.62

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $58.88 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$30.20$24.55 to $34.67
FacilityA hospital or hospital-owned outpatient department$58.88$45.71 to $115

How much rates vary

Facilitymedian $59 · 10th to 90th $32 to $170Professionalmedian $30 · 10th to 90th $16 to $38
$2$10$50$200facility $59professional $30

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
$38.02
Median
$66.07
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$31.62
Typical High
$38.02
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
$12.30
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$45.71
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$20.42
Typical High
$57.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.98
Typical High
$26.30
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$138.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$31.62
Typical High
$45.71
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$46.77
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$17.78
Typical High
$39.81

Where Pennsylvania sits

The same service costs 2.3 times more in North Dakota than in North Carolina. 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· 19th of 51

$31.62

ND $52.48NC $22.39

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.