Analysis for antibody to aspergillus (fungus)
Medicare pricing data for 175 providers across 32 states
This procedure has a 5.4x markup — hospitals charge $78.72 but Medicare allows only $14.63. Uninsured patients may face bills 5.4 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
Analysis for antibody to aspergillus (fungus) (HCPCS code 86606) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.63, but hospitals typically charge $78.72 — a 5.4x 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 $14.63, your out-of-pocket cost would be approximately $2.93. 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 5.4x more than what Medicare allows for this procedure. Medicare actually pays $14.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $15 | $56 | 2 | 579 | +0.8% |
| Hawaii | $15 | $65 | 2 | 144 | +0.8% |
| Illinois | $15 | $50 | 4 | 258 | +0.8% |
| Indiana | $15 | $48 | 2 | 102 | +0.8% |
| Kansas | $15 | $53 | 4 | 540 | +0.8% |
| Kentucky | $15 | $45 | 2 | 102 | +0.8% |
| Maryland | $15 | $52 | 5 | 204 | +0.8% |
| Minnesota | $15 | $95 | 5 | 181 | +0.8% |
| Nevada | $15 | $45 | 2 | 511 | +0.8% |
| New Mexico | $15 | $38 | 1 | 53 | +0.8% |
| Oklahoma | $15 | $44 | 4 | 156 | +0.8% |
| Pennsylvania | $15 | $47 | 7 | 141 | +0.8% |
| Tennessee | $15 | $84 | 2 | 94 | +0.8% |
| Utah | $15 | $30 | 4 | 431 | +0.8% |
| Puerto Rico | $15 | $16 | 8 | 16 | +0.8% |
| Alabama | $15 | $128 | 2 | 132 | +0.8% |
| Colorado | $15 | $121 | 5 | 61 | +0.8% |
| Florida | $15 | $74 | 7 | 935 | +0.8% |
| Arizona | $15 | $66 | 4 | 576 | +0.7% |
| North Carolina | $15 | $136 | 5 | 3,200 | +0.5% |
| New Jersey | $15 | $87 | 6 | 1,439 | +0.3% |
| South Carolina | $15 | $48 | 2 | 12 | +0.2% |
| Wisconsin | $15 | $81 | 4 | 245 | 0.0% |
| Texas | $15 | $60 | 12 | 1,532 | -0.1% |
| South Dakota | $15 | $52 | 2 | 88 | -0.1% |
| Ohio | $15 | $73 | 10 | 351 | -0.2% |
| Washington | $15 | $94 | 5 | 315 | -0.5% |
| California | $15 | $65 | 19 | 2,883 | -0.5% |
| Massachusetts | $15 | $66 | 3 | 219 | -0.7% |
| New York | $15 | $70 | 7 | 1,002 | -0.8% |
| Oregon | $14 | $44 | 3 | 100 | -6.9% |
| Virginia | $13 | $36 | 5 | 267 | -8.6% |
⚠️ 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