Varicella-zoster 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 Varicella-Zoster Antibody, Igg

Payers reporting CPT 86787

Payer pricing summary

Low

Average

$239

Median

$51

High

$4.1k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +28 other terms	247	$14	$21	$39	184%	280–919	$1 – $759
2	Molina fee schedule · outpatient · +32 other terms	332	$14	$15	$10	64%	277–349	$1 – $195
3	UnitedHealthcare fee schedule · outpatient · +37 other terms	896	$13	$18	$31	178%	248–698	$1 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	603	$20	$34	$49	144%	63–252	$1 – $2.0k
5	Aetna fee schedule · outpatient · +35 other terms	808	$16	$49	$275	556%	49–193	$0 – $8.4k
6	Healthpartners fee schedule · outpatient · +13 other terms	27	$39	$35	$8	22%	45–72	$13 – $44
7	Medica fee schedule · outpatient · +18 other terms	48	$35	$41	$50	121%	31–58	$8 – $230
8	Caresource fee schedule · outpatient · +17 other terms	116	$15	$22	$21	98%	19–55	$1 – $106
9	Aetna Better Health fee schedule · outpatient · +20 other terms	124	$12	$13	$6	47%	17–62	$7 – $61
10	Humana fee schedule · outpatient · +30 other terms	602	$13	$27	$39	146%	8–80	$1 – $429
11	Cigna fee schedule · outpatient · +28 other terms	569	$28	$34	$37	110%	8–80	$1 – $759
12	Bcbs Al facility · other · outpatient · +5 other terms	4	$15	$15	$1	10%	3–30	$14 – $18
13	Bcbs Ar fee schedule · both	1	$14	$14	—	—	2–20	$14 – $14
14	Cigna Healthspring fee schedule · outpatient · +8 other terms	152	$13	$13	$2	12%	1–10	$8 – $22
15	Superior Healthplan fee schedule · outpatient · +6 other terms	67	$14	$55	$41	75%	1–10	$11 – $173
16	Sanford Health Plan fee schedule · outpatient · +14 other terms	25	$50	$46	$45	98%	1–10	$13 – $214
17	WellCare fee schedule · outpatient · +23 other terms	350	$13	$20	$60	304%	—	$6 – $812
18	Devoted fee schedule · outpatient · +17 other terms	187	$13	$13	$0	2%	—	$13 – $14
19	Oscar fee schedule · outpatient · +18 other terms	168	$25	$27	$9	34%	—	$8 – $39
20	Ambetter facility · fee schedule · outpatient · +21 other terms	132	$23	$23	$5	22%	—	$7 – $33
21	Kaiser fee schedule · outpatient · +20 other terms	132	$13	$13	$14	110%	—	$1 – $305
22	MultiPlan fee schedule · outpatient · +20 other terms	128	$77	$63	$79	125%	—	$1 – $626
23	Tricare facility · fee schedule · outpatient · +19 other terms	126	$13	$13	$9	68%	—	$0 – $82
24	Highmark facility · fee schedule · outpatient · +18 other terms	82	$22	$36	$28	79%	—	$9 – $127
25	Optum facility · fee schedule · outpatient · +22 other terms	77	$13	$13	$1	10%	—	$10 – $18

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