Measurement of antibody for assessment of autoimmune disorder, titer
Medicare pricing data for 1,279 providers across 43 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 for assessment of autoimmune disorder, titer (HCPCS code 86039) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.92, but hospitals typically charge $54.24 — a 5.0x 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 $10.92, your out-of-pocket cost would be approximately $2.18. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $10.92 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $11 | $52 | 31 | 17,215 | +0.2% |
| Georgia | $11 | $50 | 4 | 10,176 | +0.2% |
| Hawaii | $11 | $42 | 1 | 709 | +0.2% |
| Idaho | $11 | $22 | 7 | 111 | +0.2% |
| Illinois | $11 | $49 | 18 | 5,803 | +0.2% |
| Kansas | $11 | $52 | 8 | 4,660 | +0.2% |
| Maryland | $11 | $50 | 4 | 1,611 | +0.2% |
| Missouri | $11 | $20 | 6 | 67 | +0.2% |
| New Hampshire | $11 | $36 | 46 | 130 | +0.2% |
| Oregon | $11 | $58 | 3 | 182 | +0.2% |
| Rhode Island | $11 | $50 | 4 | 104 | +0.2% |
| Wyoming | $11 | $101 | 1 | 15 | +0.2% |
| Puerto Rico | $11 | $14 | 25 | 42 | +0.2% |
| Colorado | $11 | $43 | 4 | 72 | +0.2% |
| Massachusetts | $11 | $49 | 165 | 3,966 | +0.1% |
| New Jersey | $11 | $59 | 168 | 19,788 | +0.1% |
| New York | $11 | $65 | 33 | 6,199 | +0.1% |
| Tennessee | $11 | $48 | 3 | 1,855 | +0.1% |
| Texas | $11 | $67 | 114 | 16,288 | +0.1% |
| California | $11 | $49 | 79 | 25,220 | +0.1% |
| New Mexico | $11 | $53 | 2 | 354 | 0.0% |
| Pennsylvania | $11 | $60 | 14 | 3,178 | 0.0% |
| Utah | $11 | $25 | 10 | 537 | 0.0% |
| Indiana | $11 | $58 | 28 | 406 | -0.1% |
| Nevada | $11 | $50 | 2 | 2,277 | -0.1% |
| North Carolina | $11 | $43 | 22 | 920 | -0.2% |
| Iowa | $11 | $46 | 25 | 291 | -0.3% |
| Ohio | $11 | $40 | 14 | 1,874 | -0.3% |
| Oklahoma | $11 | $42 | 12 | 2,715 | -0.3% |
| Virginia | $11 | $34 | 5 | 1,225 | -0.3% |
| Kentucky | $11 | $41 | 4 | 273 | -0.4% |
| South Dakota | $11 | $59 | 2 | 313 | -0.4% |
| Michigan | $11 | $29 | 10 | 521 | -0.5% |
| Arizona | $11 | $55 | 6 | 3,772 | -0.5% |
| Minnesota | $11 | $79 | 265 | 2,167 | -0.7% |
| South Carolina | $11 | $34 | 11 | 554 | -0.9% |
| Wisconsin | $11 | $87 | 12 | 1,034 | -1.0% |
| Alabama | $11 | $25 | 12 | 748 | -1.1% |
| Arkansas | $11 | $32 | 59 | 323 | -1.2% |
| Maine | $11 | $22 | 2 | 139 | -1.7% |
| Louisiana | $11 | $58 | 9 | 64 | -2.6% |
| Washington | $11 | $50 | 2 | 106 | -3.1% |
| Mississippi | $8 | $66 | 9 | 21 | -25.0% |
⚠️ 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