Epstein-Barr virus 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 Ebv-Ea-D Igg/Igm by Elisa (Mdl)

Payers reporting CPT 86663

Payer pricing summary

Low

Average

$258

Median

$43

High

$5.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +25 other terms	244	$14	$23	$25	109%	85–193	$2 – $288
2	UnitedHealthcare fee schedule · outpatient · +35 other terms	851	$13	$17	$23	141%	68–257	$1 – $1.0k
3	Molina fee schedule · outpatient · +31 other terms	318	$15	$16	$10	64%	61–88	$1 – $195
4	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	575	$20	$33	$34	102%	35–107	$1 – $296
5	Caresource fee schedule · outpatient · +16 other terms	112	$15	$19	$15	77%	33–87	$1 – $87
6	Aetna fee schedule · outpatient · +32 other terms	772	$16	$54	$323	596%	16–160	$0 – $8.4k
7	Cigna fee schedule · outpatient · +23 other terms	545	$26	$32	$32	102%	10–100	$1 – $572
8	Humana fee schedule · outpatient · +26 other terms	575	$13	$30	$45	150%	6–60	$1 – $1.0k
9	Healthpartners fee schedule · outpatient · +11 other terms	28	$40	$36	$8	22%	2–20	$13 – $45
10	Bcbs Al facility · other · outpatient · +5 other terms	4	$15	$15	$1	10%	2–20	$14 – $18
11	Ambetter fee schedule · outpatient · +20 other terms	131	$22	$19	$7	38%	1–10	$9 – $55
12	Optum fee schedule · outpatient · +20 other terms	75	$13	$16	$7	44%	1–10	$13 – $39
13	Medical Mutual fee schedule · outpatient · +16 other terms	25	$20	$24	$16	64%	1–10	$12 – $93
14	Sanford Health Plan fee schedule · outpatient · +14 other terms	23	$36	$41	$35	85%	1–10	$13 – $163
15	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$22	$22	$9	39%	1–10	$13 – $30
16	WellCare fee schedule · outpatient · +19 other terms	327	$14	$15	$5	35%	—	$9 – $76
17	Devoted fee schedule · outpatient · +16 other terms	194	$13	$13	$0	2%	—	$13 – $15
18	Oscar fee schedule · outpatient · +18 other terms	168	$25	$28	$9	34%	—	$13 – $40
19	Cigna Healthspring fee schedule · outpatient · +8 other terms	143	$14	$13	$1	10%	—	$8 – $22
20	Kaiser fee schedule · outpatient · +19 other terms	129	$13	$14	$16	119%	—	$1 – $202
21	Aetna Better Health fee schedule · outpatient · +18 other terms	122	$12	$13	$7	55%	—	$7 – $62
22	MultiPlan fee schedule · outpatient · +19 other terms	115	$52	$68	$84	123%	—	$5 – $685
23	Tricare facility · fee schedule · outpatient · +18 other terms	114	$13	$15	$17	111%	—	$5 – $185
24	Highmark facility · fee schedule · outpatient · +18 other terms	72	$22	$32	$27	83%	—	$9 – $130
25	First Health fee schedule · outpatient · +18 other terms	69	$13	$20	$31	158%	—	$4 – $297

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