Thyroglobulin (thyroid protein) antibody measurement
Medicare pricing data for 2,078 providers across 45 states
This procedure has a 6.0x markup — hospitals charge $92.97 but Medicare allows only $15.56. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. 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
Thyroglobulin (thyroid protein) antibody measurement (HCPCS code 86800) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.56, but hospitals typically charge $92.97 — a 6.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $15.56, your out-of-pocket cost would be approximately $3.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $15.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Missouri | $16 | $182 | 22 | 1,069 | +0.3% |
| Illinois | $16 | $114 | 32 | 5,119 | +0.2% |
| Louisiana | $16 | $53 | 34 | 303 | +0.2% |
| New Hampshire | $16 | $47 | 19 | 98 | +0.2% |
| Connecticut | $16 | $76 | 8 | 60 | +0.2% |
| Florida | $16 | $94 | 115 | 39,967 | +0.1% |
| Georgia | $16 | $115 | 20 | 6,866 | +0.1% |
| Kansas | $16 | $110 | 13 | 5,343 | +0.1% |
| Massachusetts | $16 | $76 | 113 | 8,201 | +0.1% |
| Nevada | $16 | $110 | 5 | 3,198 | +0.1% |
| North Dakota | $16 | $43 | 11 | 854 | +0.1% |
| Pennsylvania | $16 | $76 | 30 | 4,644 | +0.1% |
| Puerto Rico | $16 | $18 | 186 | 672 | +0.1% |
| Colorado | $16 | $106 | 19 | 1,946 | +0.1% |
| New Jersey | $16 | $104 | 144 | 50,213 | +0.1% |
| California | $16 | $77 | 84 | 48,719 | +0.1% |
| Maryland | $16 | $94 | 59 | 4,735 | 0.0% |
| Michigan | $16 | $36 | 22 | 2,878 | 0.0% |
| Minnesota | $16 | $139 | 42 | 1,441 | 0.0% |
| New York | $16 | $100 | 253 | 31,887 | 0.0% |
| North Carolina | $16 | $101 | 59 | 23,456 | 0.0% |
| Ohio | $16 | $97 | 86 | 10,773 | 0.0% |
| Texas | $16 | $91 | 110 | 28,720 | 0.0% |
| Arizona | $16 | $98 | 57 | 14,408 | 0.0% |
| Indiana | $16 | $57 | 17 | 573 | -0.1% |
| Utah | $16 | $37 | 88 | 952 | -0.1% |
| Kentucky | $16 | $59 | 29 | 942 | -0.1% |
| Maine | $16 | $52 | 2 | 186 | -0.1% |
| New Mexico | $16 | $54 | 2 | 480 | -0.1% |
| Oklahoma | $16 | $89 | 15 | 2,483 | -0.2% |
| Washington | $16 | $91 | 102 | 2,500 | -0.2% |
| Alabama | $16 | $99 | 19 | 5,602 | -0.2% |
| Iowa | $16 | $57 | 8 | 292 | -0.4% |
| Rhode Island | $15 | $56 | 5 | 299 | -0.4% |
| Idaho | $15 | $75 | 18 | 227 | -0.5% |
| South Carolina | $15 | $42 | 17 | 660 | -0.5% |
| Tennessee | $15 | $90 | 51 | 3,231 | -0.6% |
| Wisconsin | $15 | $91 | 15 | 1,259 | -0.8% |
| Oregon | $15 | $66 | 40 | 968 | -0.9% |
| Hawaii | $15 | $57 | 2 | 992 | -1.2% |
| Mississippi | $15 | $62 | 20 | 780 | -1.3% |
| Virginia | $15 | $43 | 48 | 1,787 | -1.9% |
| South Dakota | $15 | $62 | 5 | 206 | -2.0% |
| Nebraska | $15 | $27 | 2 | 224 | -4.0% |
| Arkansas | $14 | $48 | 18 | 49 | -6.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber