Deamidated gliadin peptide antibody test

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

HB Ref Celiac Panel, Gliadin Iga/Igg Elisa (Pro)

Payers reporting CPT 86258

Payer pricing summary

Low

Average

$330

Median

$39

High

$5.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	789	$12	$17	$70	419%	99–189	$1 – $2.1k
2	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$20	$20	$8	39%	11	$12 – $28
3	Cigna fee schedule · outpatient · +24 other terms	379	$21	$42	$136	321%	6–60	$0 – $2.1k
4	Aetna fee schedule · outpatient · +27 other terms	660	$12	$71	$428	603%	5–50	$0 – $8.4k
5	Healthpartners fee schedule · outpatient · +12 other terms	27	$35	$33	$6	18%	2–20	$12 – $39
6	Bcbs Al facility · other · outpatient · +3 other terms	3	$15	$16	$2	10%	2–20	$14 – $18
7	Humana fee schedule · outpatient · +25 other terms	471	$12	$17	$21	126%	1–10	$1 – $279
8	Medicaid facility · fee schedule · outpatient · +13 other terms	52	$11	$11	$2	15%	1–10	$6 – $21
9	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	517	$16	$27	$80	298%	—	$1 – $2.1k
10	WellCare fee schedule · outpatient · +18 other terms	305	$12	$31	$183	591%	—	$1 – $2.3k
11	Molina fee schedule · outpatient · +28 other terms	266	$13	$15	$10	66%	—	$1 – $195
12	Anthem fee schedule · outpatient · +23 other terms	199	$13	$36	$169	477%	—	$2 – $2.1k
13	Devoted fee schedule · outpatient · +14 other terms	185	$12	$12	$0	2%	—	$12 – $13
14	Oscar fee schedule · outpatient · +18 other terms	168	$23	$26	$9	34%	—	$7 – $37
15	Cigna Healthspring fee schedule · outpatient · +7 other terms	133	$13	$12	$1	9%	—	$7 – $20
16	Ambetter facility · fee schedule · outpatient · +19 other terms	122	$22	$22	$5	23%	—	$6 – $31
17	Kaiser fee schedule · outpatient · +18 other terms	118	$12	$13	$9	74%	—	$2 – $65
18	Aetna Better Health fee schedule · outpatient · +18 other terms	112	$11	$12	$14	119%	—	$6 – $235
19	Tricare facility · fee schedule · outpatient · +15 other terms	111	$12	$13	$10	73%	—	$4 – $71
20	Caresource fee schedule · outpatient · +15 other terms	102	$12	$17	$15	86%	—	$1 – $81
21	MultiPlan fee schedule · outpatient · +17 other terms	87	$44	$50	$65	129%	—	$7 – $279
22	Highmark facility · fee schedule · outpatient · +16 other terms	66	$14	$16	$9	56%	—	$4 – $55
23	First Health fee schedule · outpatient · +16 other terms	64	$12	$15	$14	96%	—	$6 – $87
24	Optum facility · fee schedule · outpatient · +19 other terms	60	$12	$12	$1	12%	—	$5 – $14
25	Amerihealth Caritas fee schedule · outpatient · +12 other terms	57	$12	$47	$248	529%	—	$6 – $2.2k

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