St. Louis encephalitis 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

ENCEPHALTIS ST LOUIS ANTBODY

Payers reporting CPT 86653

Payer pricing summary

Low

Average

$50

Median

$41

High

$179

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	512	$21	$32	$33	102%	1–10	$1 – $298
2	Molina fee schedule · outpatient · +25 other terms	281	$15	$15	$6	42%	1–10	$1 – $57
3	UnitedHealthcare fee schedule · outpatient · +31 other terms	776	$13	$16	$14	87%	—	$1 – $199
4	Aetna fee schedule · outpatient · +28 other terms	708	$17	$56	$330	595%	—	$0 – $8.4k
5	Humana fee schedule · outpatient · +25 other terms	523	$13	$30	$41	136%	—	$1 – $231
6	Cigna fee schedule · outpatient · +25 other terms	503	$29	$34	$24	71%	—	$1 – $180
7	WellCare fee schedule · outpatient · +17 other terms	309	$14	$16	$8	50%	—	$6 – $116
8	Anthem fee schedule · outpatient · +24 other terms	213	$15	$24	$21	87%	—	$2 – $99
9	Devoted fee schedule · outpatient · +13 other terms	188	$13	$13	$0	3%	—	$13 – $15
10	Oscar fee schedule · outpatient · +17 other terms	169	$25	$28	$10	34%	—	$8 – $40
11	Cigna Healthspring fee schedule · outpatient · +8 other terms	140	$14	$13	$1	9%	—	$8 – $22
12	Ambetter facility · fee schedule · outpatient · +19 other terms	121	$24	$25	$6	23%	—	$7 – $34
13	Kaiser fee schedule · outpatient · +17 other terms	113	$13	$16	$7	48%	—	$3 – $49
14	Aetna Better Health fee schedule · outpatient · +17 other terms	106	$12	$13	$2	17%	—	$7 – $25
15	Caresource fee schedule · outpatient · +16 other terms	96	$14	$21	$22	103%	—	$1 – $118
16	MultiPlan fee schedule · outpatient · +17 other terms	93	$44	$62	$65	104%	—	$3 – $266
17	Tricare facility · fee schedule · outpatient · +16 other terms	77	$13	$15	$13	89%	—	$11 – $95
18	Highmark facility · fee schedule · outpatient · +16 other terms	75	$23	$42	$41	97%	—	$8 – $183
19	First Health fee schedule · outpatient · +16 other terms	66	$13	$23	$23	103%	—	$11 – $124
20	Amerihealth Caritas fee schedule · outpatient · +11 other terms	63	$17	$17	$6	35%	—	$2 – $37
21	Optum fee schedule · outpatient · +17 other terms	61	$13	$19	$11	57%	—	$3 – $57
22	Superior Healthplan fee schedule · outpatient · +7 other terms	60	$14	$29	$24	85%	—	$11 – $146
23	Medicaid facility · fee schedule · outpatient · +13 other terms	55	$13	$14	$3	22%	—	$7 – $31
24	Clover fee schedule · outpatient · +7 other terms	49	$14	$14	$0	2%	—	$13 – $14
25	Medica facility · fee schedule · outpatient · +14 other terms	47	$13	$15	$7	48%	—	$5 – $54

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