Insulin antibody measurement
Medicare pricing data for 153 providers across 26 states
This procedure has a 9.5x markup — hospitals charge $198.76 but Medicare allows only $20.95. Uninsured patients may face bills 9.5 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Insulin antibody measurement (HCPCS code 86337) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.95, but hospitals typically charge $198.76 — a 9.5x 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 $20.95, your out-of-pocket cost would be approximately $4.19. 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 9.5x more than what Medicare allows for this procedure. Medicare actually pays $20.95 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $21 | $223 | 2 | 388 | +0.1% |
| Illinois | $21 | $238 | 1 | 183 | +0.1% |
| Kansas | $21 | $220 | 4 | 324 | +0.1% |
| Maryland | $21 | $214 | 5 | 91 | +0.1% |
| Massachusetts | $21 | $231 | 2 | 283 | +0.1% |
| New Jersey | $21 | $202 | 5 | 811 | +0.1% |
| Ohio | $21 | $167 | 9 | 173 | +0.1% |
| Oklahoma | $21 | $183 | 3 | 48 | +0.1% |
| Oregon | $21 | $80 | 3 | 15 | +0.1% |
| Pennsylvania | $21 | $221 | 6 | 69 | +0.1% |
| Tennessee | $21 | $91 | 2 | 49 | +0.1% |
| Texas | $21 | $192 | 8 | 605 | +0.1% |
| Utah | $21 | $54 | 5 | 47 | +0.1% |
| Virginia | $21 | $84 | 3 | 52 | +0.1% |
| Alabama | $21 | $178 | 4 | 231 | +0.1% |
| Arizona | $21 | $193 | 4 | 184 | +0.1% |
| Colorado | $21 | $201 | 3 | 82 | +0.1% |
| Florida | $21 | $216 | 7 | 940 | +0.0% |
| California | $21 | $190 | 15 | 1,532 | +0.0% |
| North Carolina | $21 | $168 | 9 | 698 | -0.0% |
| New York | $21 | $213 | 6 | 145 | -0.1% |
| Minnesota | $21 | $318 | 6 | 165 | -1.0% |
| Washington | $21 | $190 | 4 | 92 | -1.0% |
| Hawaii | $21 | $145 | 2 | 36 | -1.8% |
| Nevada | $21 | $219 | 2 | 102 | -2.0% |
| Wisconsin | $20 | $199 | 3 | 27 | -3.6% |
⚠️ 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