Analysis for antibody to rickettsia (bacteria)
Medicare pricing data for 159 providers across 26 states
This procedure has a 5.9x markup — hospitals charge $111.34 but Medicare allows only $18.94. Uninsured patients may face bills 5.9 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 rickettsia (bacteria) (HCPCS code 86757) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.94, but hospitals typically charge $111.34 — a 5.9x 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 $18.94, your out-of-pocket cost would be approximately $3.79. 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 5.9x more than what Medicare allows for this procedure. Medicare actually pays $18.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Utah | $19 | $39 | 1 | 26 | +0.2% |
| Florida | $19 | $116 | 4 | 403 | +0.1% |
| Georgia | $19 | $103 | 3 | 1,664 | +0.1% |
| Illinois | $19 | $102 | 2 | 205 | +0.1% |
| Kansas | $19 | $94 | 6 | 1,886 | +0.1% |
| Maryland | $19 | $97 | 3 | 146 | +0.1% |
| Massachusetts | $19 | $95 | 2 | 312 | +0.1% |
| Minnesota | $19 | $134 | 2 | 44 | +0.1% |
| New York | $19 | $78 | 8 | 3,618 | +0.1% |
| South Carolina | $19 | $67 | 3 | 37 | +0.1% |
| Tennessee | $19 | $101 | 3 | 950 | +0.1% |
| Virginia | $19 | $30 | 5 | 373 | +0.1% |
| Wisconsin | $19 | $102 | 4 | 102 | +0.1% |
| Arizona | $19 | $141 | 3 | 161 | +0.1% |
| Colorado | $19 | $120 | 3 | 32 | +0.1% |
| New Jersey | $19 | $119 | 11 | 8,425 | +0.1% |
| Texas | $19 | $136 | 10 | 1,078 | 0.0% |
| North Carolina | $19 | $135 | 9 | 10,948 | -0.1% |
| Ohio | $19 | $140 | 8 | 886 | -0.1% |
| Alabama | $19 | $129 | 7 | 988 | -0.1% |
| California | $19 | $84 | 12 | 4,451 | -0.1% |
| Oklahoma | $19 | $74 | 7 | 1,061 | -0.2% |
| Kentucky | $19 | $43 | 2 | 129 | -0.6% |
| Mississippi | $19 | $75 | 2 | 85 | -2.2% |
| Arkansas | $18 | $47 | 9 | 37 | -2.6% |
| Pennsylvania | $18 | $63 | 6 | 89 | -3.3% |
⚠️ 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