Epstein-Barr virus capsid 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 Epstein-Barr Capsid Vca

Payers reporting CPT 86665

Payer pricing summary

Low

$11

Average

$166

Median

$60

High

$2.3k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	598	$29	$44	$43	97%	133–313	$1 – $393
2	Anthem fee schedule · outpatient · +28 other terms	248	$20	$25	$29	118%	127–433	$1 – $288
3	Molina fee schedule · outpatient · +32 other terms	328	$20	$21	$12	57%	107–152	$1 – $195
4	UnitedHealthcare fee schedule · outpatient · +36 other terms	872	$18	$22	$22	98%	92–596	$1 – $317
5	Caresource fee schedule · outpatient · +17 other terms	116	$21	$27	$22	84%	80–170	$1 – $141
6	Aetna fee schedule · outpatient · +35 other terms	790	$23	$64	$269	420%	39–390	$0 – $8.4k
7	Bcbs Al facility · other · outpatient · +5 other terms	4	$15	$15	$2	10%	18–45	$14 – $18
8	Humana fee schedule · outpatient · +29 other terms	581	$18	$36	$47	130%	16–160	$1 – $244
9	Cigna fee schedule · outpatient · +27 other terms	549	$37	$43	$38	89%	14–140	$3 – $302
10	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$36	$36	$10	28%	12	$18 – $42
11	Florida Blue fee schedule · outpatient · +3 other terms	1	$135	$135	$32	24%	8–80	$106 – $201
12	Healthpartners fee schedule · outpatient · +12 other terms	28	$55	$49	$11	22%	7–70	$19 – $62
13	Aetna Better Health fee schedule · outpatient · +18 other terms	123	$16	$19	$9	48%	4–40	$8 – $85
14	Medical Mutual fee schedule · outpatient · +16 other terms	26	$23	$37	$30	82%	3–30	$17 – $150
15	Bcbs Ar fee schedule · both	1	$20	$20	—	—	2–20	$20 – $20
16	Cigna Healthspring fee schedule · outpatient · +8 other terms	151	$18	$18	$2	11%	1–10	$11 – $31
17	Superior Healthplan fee schedule · outpatient · +6 other terms	65	$19	$98	$71	73%	1–10	$15 – $384
18	Sanford Health Plan fee schedule · outpatient · +14 other terms	23	$50	$36	$37	103%	1–10	$18 – $226
19	WellCare fee schedule · outpatient · +22 other terms	325	$19	$21	$9	43%	—	$11 – $106
20	Devoted fee schedule · outpatient · +17 other terms	187	$18	$18	$0	2%	—	$18 – $20
21	Oscar fee schedule · outpatient · +18 other terms	168	$35	$38	$13	34%	—	$18 – $56
22	Ambetter facility · fee schedule · outpatient · +21 other terms	132	$32	$33	$8	22%	—	$10 – $61
23	Kaiser fee schedule · outpatient · +20 other terms	130	$18	$16	$17	106%	—	$1 – $218
24	Tricare facility · fee schedule · outpatient · +19 other terms	126	$18	$19	$12	61%	—	$7 – $117
25	MultiPlan fee schedule · outpatient · +21 other terms	123	$82	$78	$84	107%	—	$4 – $314

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