Western blot protein test on blood or body fluid

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC MGH ANTI GLOMER BSMT MEMB 1

Payers reporting CPT 84181

Payer pricing summary

Low

Average

$103

Median

$64

High

$629

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Molina fee schedule · outpatient · +26 other terms	280	$19	$21	$11	55%	1–10	$1 – $195
2	Cigna Healthspring fee schedule · outpatient · +8 other terms	134	$18	$17	$2	10%	1–10	$10 – $28
3	UnitedHealthcare fee schedule · outpatient · +32 other terms	756	$17	$24	$37	151%	—	$1 – $633
4	Aetna fee schedule · outpatient · +29 other terms	693	$20	$84	$338	404%	—	$0 – $8.4k
5	Humana fee schedule · outpatient · +24 other terms	504	$17	$43	$64	149%	—	$1 – $740
6	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	483	$26	$54	$63	117%	—	$1 – $385
7	Cigna fee schedule · outpatient · +25 other terms	477	$37	$46	$52	111%	—	$8 – $715
8	WellCare fee schedule · outpatient · +20 other terms	303	$18	$22	$19	88%	—	$14 – $247
9	Anthem fee schedule · outpatient · +21 other terms	192	$24	$28	$33	117%	—	$1 – $386
10	Devoted fee schedule · outpatient · +14 other terms	191	$17	$17	$0	3%	—	$17 – $20
11	Oscar fee schedule · outpatient · +17 other terms	166	$33	$36	$12	34%	—	$17 – $52
12	Ambetter fee schedule · outpatient · +19 other terms	108	$28	$32	$38	118%	—	$11 – $325
13	Kaiser fee schedule · outpatient · +17 other terms	100	$17	$27	$30	111%	—	$8 – $324
14	Caresource fee schedule · outpatient · +16 other terms	96	$19	$38	$52	137%	—	$1 – $344
15	Aetna Better Health fee schedule · outpatient · +16 other terms	84	$15	$18	$10	59%	—	$8 – $79
16	MultiPlan fee schedule · outpatient · +16 other terms	71	$185	$192	$154	80%	—	$17 – $1.0k
17	Highmark facility · fee schedule · outpatient · +13 other terms	63	$31	$64	$57	90%	—	$11 – $236
18	Optum fee schedule · outpatient · +18 other terms	56	$17	$32	$63	198%	—	$17 – $611
19	First Health fee schedule · outpatient · +15 other terms	52	$31	$59	$105	178%	—	$14 – $910
20	Medicaid facility · fee schedule · outpatient · +13 other terms	52	$17	$18	$4	22%	—	$9 – $24
21	Tricare facility · fee schedule · outpatient · +17 other terms	52	$16	$17	$3	16%	—	$14 – $36
22	Clover fee schedule · outpatient · +7 other terms	48	$18	$17	$0	2%	—	$17 – $18
23	Superior Healthplan fee schedule · outpatient · +6 other terms	48	$18	$39	$81	210%	—	$14 – $409
24	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	47	$27	$26	$10	38%	—	$15 – $87
25	Medica facility · fee schedule · outpatient · +12 other terms	46	$17	$22	$23	102%	—	$11 – $184

Page 1 of 3 · 68 payers