86146

Beta 2 glycoprotein 1 antibody (autoantibody) measurement

Medicare pricing data for 615 providers across 43 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Beta 2 glycoprotein 1 antibody (autoantibody) measurement (HCPCS code 86146) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.72, but hospitals typically charge $103.76 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.72, your out-of-pocket cost would be approximately $4.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.72
Average Hospital Charge
$103.76
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$103.76
Medicare Allowed$24.72
Medicare Payment$24.72

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $24.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$25$83445+0.9%
Georgia$25$14223,770+0.9%
Idaho$25$586133+0.9%
Iowa$25$1032202+0.9%
Massachusetts$25$13551,899+0.9%
Michigan$25$725101+0.9%
Mississippi$25$53319+0.9%
Nebraska$25$48178+0.9%
Nevada$25$13821,107+0.9%
New Hampshire$25$84427+0.9%
New Mexico$25$733464+0.9%
Oregon$25$99552+0.9%
South Carolina$25$66392+0.9%
Tennessee$25$753564+0.9%
Utah$25$537227+0.9%
Puerto Rico$25$271184+0.9%
Connecticut$25$141370+0.9%
Kansas$25$13651,576+0.8%
Alabama$25$140121,186+0.8%
Florida$25$1343217,928+0.8%
New Jersey$25$1163423,661+0.8%
New York$25$1127712,652+0.8%
Colorado$25$16162,722+0.8%
North Carolina$25$1202013,691+0.7%
Pennsylvania$25$106152,214+0.6%
Illinois$25$139432,817+0.6%
Arizona$25$108410,385+0.5%
Maryland$25$90363,183+0.4%
Missouri$25$1936159+0.4%
Oklahoma$25$123231,097+0.2%
Kentucky$25$726230+0.2%
Ohio$25$99122,725+0.2%
California$25$714551,354+0.2%
Minnesota$25$165551,352+0.1%
Louisiana$25$554292-0.0%
Hawaii$25$762431-0.1%
Washington$25$1326833-0.1%
Indiana$25$6312147-0.3%
Wisconsin$24$125131,057-1.0%
Maine$24$34290-1.9%
South Dakota$24$883101-4.5%
Texas$23$955113,071-5.1%
Virginia$18$5011415-27.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber