Immunologic analysis for detection of antigen or antibody
Medicare pricing data for 233 providers across 31 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
Immunologic analysis for detection of antigen or antibody (HCPCS code 86331) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.66, but hospitals typically charge $50.80 — a 4.4x 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 $11.66, your out-of-pocket cost would be approximately $2.33. 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 4.4x more than what Medicare allows for this procedure. Medicare actually pays $11.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $12 | $65 | 5 | 1,180 | +0.7% |
| Georgia | $12 | $44 | 1 | 184 | +0.7% |
| Hawaii | $12 | $65 | 2 | 16 | +0.7% |
| Illinois | $12 | $41 | 2 | 76 | +0.7% |
| Kansas | $12 | $56 | 5 | 88 | +0.7% |
| Kentucky | $12 | $41 | 1 | 150 | +0.7% |
| Maine | $12 | $727 | 1 | 12 | +0.7% |
| Maryland | $12 | $43 | 4 | 293 | +0.7% |
| Massachusetts | $12 | $47 | 3 | 106 | +0.7% |
| Missouri | $12 | $33 | 1 | 44 | +0.7% |
| Nevada | $12 | $38 | 1 | 58 | +0.7% |
| New York | $12 | $45 | 5 | 648 | +0.7% |
| Oklahoma | $12 | $52 | 4 | 120 | +0.7% |
| Pennsylvania | $12 | $37 | 6 | 141 | +0.7% |
| Tennessee | $12 | $32 | 2 | 143 | +0.7% |
| Texas | $12 | $40 | 12 | 1,666 | +0.7% |
| Wisconsin | $12 | $124 | 3 | 395 | +0.7% |
| Alabama | $12 | $90 | 2 | 89 | +0.7% |
| Colorado | $12 | $79 | 4 | 49 | +0.7% |
| Utah | $12 | $21 | 2 | 450 | +0.4% |
| New Jersey | $12 | $56 | 5 | 902 | +0.3% |
| North Carolina | $12 | $85 | 4 | 1,908 | +0.3% |
| California | $12 | $30 | 19 | 4,792 | +0.3% |
| Minnesota | $12 | $77 | 5 | 946 | +0.2% |
| Arizona | $12 | $49 | 88 | 995 | 0.0% |
| Washington | $12 | $73 | 4 | 291 | -1.4% |
| South Dakota | $11 | $49 | 2 | 28 | -2.4% |
| Ohio | $11 | $48 | 9 | 278 | -6.1% |
| Virginia | $11 | $17 | 6 | 100 | -7.9% |
| Oregon | $10 | $19 | 3 | 66 | -15.0% |
| Iowa | $8 | $8 | 1 | 71 | -33.3% |
⚠️ 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