West Nile 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

HC ANTIBODY; WEST NILE VIRUS, IGG

Payers reporting CPT 86789

Payer pricing summary

Low

Average

$198

Median

$47

High

$3.1k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	585	$22	$33	$35	107%	28–145	$1 – $325
2	UnitedHealthcare fee schedule · outpatient · +35 other terms	855	$14	$18	$17	95%	15–150	$1 – $317
3	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$33	$33	—	—	15	$33 – $33
4	Cigna fee schedule · outpatient · +26 other terms	538	$29	$33	$24	72%	8–80	$5 – $267
5	Aetna fee schedule · outpatient · +32 other terms	784	$17	$50	$296	594%	7–70	$0 – $8.4k
6	Anthem fee schedule · outpatient · +25 other terms	238	$16	$22	$22	103%	7–70	$3 – $288
7	Optum fee schedule · outpatient · +20 other terms	76	$14	$26	$26	102%	7–70	$10 – $141
8	Humana fee schedule · outpatient · +28 other terms	562	$15	$30	$39	133%	4–40	$1 – $350
9	Healthpartners fee schedule · outpatient · +12 other terms	28	$44	$39	$9	23%	4–40	$15 – $49
10	Molina fee schedule · outpatient · +31 other terms	321	$16	$17	$9	55%	3–30	$1 – $195
11	WellCare fee schedule · outpatient · +21 other terms	333	$15	$16	$7	41%	—	$11 – $85
12	Devoted fee schedule · outpatient · +15 other terms	191	$14	$15	$0	2%	—	$14 – $17
13	Oscar fee schedule · outpatient · +18 other terms	168	$28	$31	$10	34%	—	$14 – $44
14	Cigna Healthspring fee schedule · outpatient · +9 other terms	147	$14	$14	$1	10%	—	$9 – $23
15	Ambetter facility · fee schedule · outpatient · +20 other terms	129	$25	$27	$6	21%	—	$8 – $37
16	Kaiser fee schedule · outpatient · +20 other terms	129	$14	$15	$8	53%	—	$3 – $99
17	Aetna Better Health fee schedule · outpatient · +18 other terms	120	$14	$14	$6	43%	—	$8 – $55
18	Tricare facility · fee schedule · outpatient · +15 other terms	117	$14	$17	$13	79%	—	$10 – $91
19	MultiPlan fee schedule · outpatient · +20 other terms	116	$61	$50	$61	121%	—	$7 – $404
20	Caresource fee schedule · outpatient · +16 other terms	110	$16	$20	$18	87%	—	$1 – $180
21	Highmark facility · fee schedule · outpatient · +17 other terms	79	$25	$48	$45	95%	—	$10 – $191
22	First Health fee schedule · outpatient · +17 other terms	74	$14	$22	$26	120%	—	$6 – $163
23	Amerihealth Caritas fee schedule · outpatient · +12 other terms	72	$16	$18	$6	33%	—	$2 – $37
24	Medicaid facility · fee schedule · outpatient · +14 other terms	67	$14	$15	$4	24%	—	$6 – $40
25	Superior Healthplan fee schedule · outpatient · +6 other terms	64	$15	$56	$80	142%	—	$12 – $359

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