Detection of infectious agent antibody, quantitative
Medicare pricing data for 686 providers across 40 states
This procedure has a 7.8x markup — hospitals charge $113.18 but Medicare allows only $14.58. Uninsured patients may face bills 7.8 times higher than what insurance negotiates. 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
Detection of infectious agent antibody, quantitative (HCPCS code 86317) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.58, but hospitals typically charge $113.18 — a 7.8x 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 $14.58, your out-of-pocket cost would be approximately $2.92. 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 7.8x more than what Medicare allows for this procedure. Medicare actually pays $14.58 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Minnesota | $15 | $68 | 4 | 1,722 | +0.8% |
| Georgia | $15 | $213 | 7 | 2,467 | +0.8% |
| Idaho | $15 | $30 | 1 | 67 | +0.8% |
| Louisiana | $15 | $45 | 4 | 161 | +0.8% |
| Maine | $15 | $92 | 3 | 73 | +0.8% |
| Massachusetts | $15 | $175 | 10 | 3,162 | +0.8% |
| Mississippi | $15 | $567 | 11 | 125 | +0.8% |
| Nevada | $15 | $225 | 2 | 334 | +0.8% |
| New York | $15 | $119 | 138 | 3,704 | +0.8% |
| Pennsylvania | $15 | $193 | 10 | 1,045 | +0.8% |
| South Carolina | $15 | $82 | 5 | 95 | +0.8% |
| South Dakota | $15 | $46 | 2 | 37 | +0.8% |
| West Virginia | $15 | $54 | 2 | 36 | +0.8% |
| Wisconsin | $15 | $91 | 3 | 243 | +0.8% |
| Puerto Rico | $15 | $17 | 15 | 25 | +0.8% |
| Alaska | $15 | $116 | 7 | 25 | +0.8% |
| Colorado | $15 | $164 | 5 | 317 | +0.8% |
| Florida | $15 | $172 | 15 | 14,683 | +0.7% |
| Illinois | $15 | $194 | 99 | 2,201 | +0.7% |
| Maryland | $15 | $143 | 42 | 1,735 | +0.7% |
| Kansas | $15 | $264 | 4 | 2,238 | +0.6% |
| Texas | $15 | $72 | 24 | 27,103 | +0.6% |
| Oklahoma | $15 | $161 | 6 | 735 | +0.4% |
| Ohio | $15 | $82 | 36 | 2,568 | +0.3% |
| Washington | $15 | $124 | 49 | 2,159 | +0.3% |
| New Jersey | $15 | $138 | 16 | 15,610 | +0.2% |
| Arizona | $15 | $92 | 5 | 5,628 | +0.1% |
| California | $15 | $97 | 27 | 28,751 | +0.1% |
| North Carolina | $15 | $88 | 12 | 6,898 | 0.0% |
| Indiana | $15 | $57 | 5 | 449 | -0.4% |
| Hawaii | $14 | $140 | 2 | 176 | -0.9% |
| Alabama | $14 | $79 | 4 | 1,158 | -1.5% |
| Tennessee | $14 | $44 | 45 | 965 | -1.6% |
| Michigan | $14 | $45 | 11 | 279 | -1.7% |
| Kentucky | $14 | $44 | 2 | 22 | -3.8% |
| Missouri | $13 | $21 | 18 | 2,032 | -10.7% |
| Utah | $13 | $26 | 5 | 546 | -12.6% |
| Virginia | $13 | $42 | 5 | 875 | -13.0% |
| Oregon | $12 | $71 | 6 | 260 | -18.0% |
| Iowa | $8 | $20 | 2 | 62 | -43.8% |
⚠️ 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