CPT 86318 Pathology/Laboratory
Test for detection of infectious agent antibody, qualitative or semiquantitative Cost
Body System: General
Medicare Facility Rate
$18
CMS PFS CY2026
Medicare Non-Facility Rate
$18
Office/clinic setting
Frequently Asked Questions
How much does Test for detection of infectious agent antibody, qualitative or semiquantitative cost?
The Medicare facility rate is $18. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Test for detection of infectious agent antibody, qualitative or semiquantitative cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $18.