Hepatitis b core antibody (igm) measurement
Medicare pricing data for 1,001 providers across 45 states
This procedure has a 7.5x markup — hospitals charge $86.46 but Medicare allows only $11.51. Uninsured patients may face bills 7.5 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
Hepatitis b core antibody (igm) measurement (HCPCS code 86705) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.51, but hospitals typically charge $86.46 — a 7.5x 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 $11.51, your out-of-pocket cost would be approximately $2.30. 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 7.5x more than what Medicare allows for this procedure. Medicare actually pays $11.51 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $12 | $17 | 1 | 26 | +0.2% |
| Georgia | $12 | $143 | 6 | 729 | +0.2% |
| Idaho | $12 | $59 | 6 | 14 | +0.2% |
| Illinois | $12 | $104 | 45 | 1,133 | +0.2% |
| Kansas | $12 | $125 | 10 | 671 | +0.2% |
| Maine | $12 | $40 | 3 | 16 | +0.2% |
| Minnesota | $12 | $152 | 20 | 149 | +0.2% |
| Missouri | $12 | $40 | 24 | 37 | +0.2% |
| Nevada | $12 | $127 | 6 | 127 | +0.2% |
| New Mexico | $12 | $51 | 2 | 39 | +0.2% |
| North Dakota | $12 | $40 | 4 | 32 | +0.2% |
| Oklahoma | $12 | $82 | 8 | 234 | +0.2% |
| Utah | $12 | $25 | 10 | 21 | +0.2% |
| Puerto Rico | $12 | $13 | 15 | 33 | +0.2% |
| Arkansas | $12 | $27 | 17 | 60 | +0.2% |
| California | $12 | $67 | 81 | 8,026 | +0.2% |
| Colorado | $12 | $101 | 8 | 300 | +0.2% |
| Florida | $12 | $102 | 42 | 4,200 | +0.1% |
| New Jersey | $12 | $108 | 52 | 6,194 | +0.1% |
| Alabama | $12 | $86 | 9 | 610 | +0.1% |
| Massachusetts | $12 | $105 | 114 | 863 | 0.0% |
| Michigan | $12 | $37 | 13 | 330 | 0.0% |
| New York | $12 | $87 | 101 | 1,841 | 0.0% |
| North Carolina | $12 | $92 | 52 | 4,613 | 0.0% |
| Pennsylvania | $12 | $52 | 16 | 1,450 | 0.0% |
| Texas | $12 | $105 | 58 | 3,953 | 0.0% |
| Virginia | $12 | $50 | 16 | 496 | 0.0% |
| Hawaii | $11 | $35 | 2 | 126 | -0.2% |
| Maryland | $11 | $81 | 23 | 608 | -0.2% |
| Ohio | $11 | $72 | 30 | 1,548 | -0.2% |
| Arizona | $11 | $56 | 48 | 3,744 | -0.3% |
| Louisiana | $11 | $52 | 25 | 160 | -0.4% |
| Kentucky | $11 | $30 | 6 | 124 | -0.5% |
| Tennessee | $11 | $85 | 28 | 491 | -0.5% |
| Washington | $11 | $103 | 22 | 726 | -0.6% |
| South Carolina | $11 | $56 | 16 | 167 | -0.9% |
| Iowa | $11 | $79 | 10 | 80 | -1.0% |
| Indiana | $11 | $78 | 7 | 54 | -1.1% |
| Wisconsin | $11 | $88 | 8 | 272 | -1.1% |
| Oregon | $11 | $36 | 8 | 113 | -1.3% |
| Rhode Island | $11 | $43 | 3 | 43 | -1.4% |
| South Dakota | $11 | $70 | 3 | 60 | -1.5% |
| Nebraska | $11 | $25 | 2 | 53 | -1.7% |
| Mississippi | $11 | $82 | 4 | 79 | -2.1% |
| Connecticut | $11 | $65 | 4 | 12 | -4.3% |
⚠️ 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