Measurement of antibody (igg) to allergic substance, each allergen
Medicare pricing data for 64 providers across 8 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Measurement of antibody (igg) to allergic substance, each allergen (HCPCS code 86001) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.16, but hospitals typically charge $14.01 — a 2.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.16, your out-of-pocket cost would be approximately $1.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $6.16 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $8 | $13 | 4 | 14,056 | +24.4% |
| Ohio | $8 | $170 | 8 | 94 | +24.4% |
| Tennessee | $8 | $20 | 3 | 5,872 | +24.4% |
| Washington | $8 | $33 | 4 | 49 | +24.4% |
| Nevada | $8 | $37 | 1 | 554 | +24.2% |
| California | $8 | $38 | 10 | 3,399 | +24.2% |
| Arizona | $7 | $42 | 3 | 687 | +21.3% |
| North Carolina | $4 | $5 | 6 | 17,111 | -35.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber