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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 86235
  4. Cost Analysis

How Much Does Measurement of antibody for assessment of autoimmune disorder, any method Cost on Medicare?

Cost analysis for CPT 86235 — Measurement of antibody for assessment of autoimmune disorder, any method

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Average Medicare Payment

$17.38

2023 data

Total Payments (2023)

$26.9M

Services (2023)

1.5M

Price Change (2014–2023)

-23.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$22.65$24.9M1.1M—
2015$22.59$26.7M1.2M-0.3%
2016$22.49$29.3M1.3M-0.4%
2017$22.60$31.2M1.3M+0.5%
2018$21.22$30.2M1.4M-6.1%
2019$19.25$29.1M1.5M-9.3%
2020$17.57$24.0M1.4M-8.7%
2021$17.74$27.7M1.6M+1.0%
2022$17.48$26.4M1.5M-1.5%
2023$17.38$26.9M1.5M-0.6%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.1x more than the cheapest for this procedure. WY averages $17.57 vs WA at $16.46.

StateAvg PaymentTotal PaymentsServicesProviders
WY$17.57$2.6K1501
DC$17.57$10.0K5684
NH$17.57$4.4K2533
ND$17.57$5.4K3082
MS$17.57$3.1K1792
MA$17.57$304.2K17.3K6
CO$17.56$150.4K8.6K6
HI$17.56$68.8K3.9K2
NJ$17.56$3.3M189.8K35
NY$17.56$1.4M82.2K43
KS$17.55$492.9K28.1K16
FL$17.55$2.2M125.3K38
UT$17.54$70.7K4.0K6
CA$17.53$4.7M267.7K62
GA$17.53$939.8K53.6K19
SC$17.53$109.4K6.2K16
NC$17.52$2.7M155.9K39
IL$17.52$590.0K33.7K29
PA$17.52$385.6K22.0K19
AZ$17.51$1.1M64.5K19
SD$17.51$23.9K1.4K3
CT$17.50$9.2K5282
TX$17.50$3.2M180.9K72
TN$17.50$358.8K20.5K13
AL$17.49$908.8K52.0K24
NV$17.47$188.6K10.8K2
OR$17.47$100.6K5.8K8
LA$17.46$55.4K3.2K10
MN$17.46$234.5K13.4K21
ID$17.45$55.7K3.2K9
NM$17.45$59.2K3.4K3
VA$17.44$190.1K10.9K8
PR$17.43$7.4K4245
MD$17.43$319.4K18.3K38
WI$17.41$202.6K11.6K19
MO$17.41$83.6K4.8K1
KY$17.40$137.3K7.9K11
MI$17.37$79.9K4.6K8
RI$17.37$5.8K3361
NE$17.36$37.8K2.2K4
IA$17.32$106.6K6.2K15
ME$17.30$10.9K6282
AR$17.29$117.3K6.8K16
IN$17.24$127.0K7.4K8
OH$16.91$974.3K57.6K36
OK$16.89$327.7K19.4K28
WA$16.46$297.7K18.1K11

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Laboratory Corporation Of America HoldingsClinical LaboratoryNC$2.3M129.1K$17.53
Laboratory Corporation Of America HoldingsClinical LaboratoryNJ$1.7M94.6K$17.56
Unilab CorporationClinical LaboratoryCA$1.2M69.5K$17.57
Quest Diagnostics Clinical Laboratories IncClinical LaboratoryFL$1.2M66.7K$17.57
Exagen Inc.Clinical LaboratoryCA$1.1M62.3K$17.55
Quest Diagnostics IncorporatedClinical LaboratoryNJ$959.6K54.6K$17.57
Quest Diagnostics Clinical Laboratories IncClinical LaboratoryGA$827.8K47.2K$17.54
Quest Diagnostics Clinical Laboratories IncClinical LaboratoryTX$826.8K47.1K$17.57
Laboratory Corporation Of America HoldingsClinical LaboratoryAL$697.1K39.7K$17.55
Clinical Pathology Laboratories, Inc.Clinical LaboratoryTX$651.3K37.1K$17.57
Laboratory Corporation Of AmericaClinical LaboratoryCA$648.5K36.9K$17.57
Laboratory Corporation Of America HoldingsClinical LaboratoryOH$644.0K36.7K$17.55
Sonora Quest Laboratories LlcClinical LaboratoryAZ$539.7K30.9K$17.48
Laboratory Corporation Of AmericaClinical LaboratoryAZ$489.6K27.9K$17.56
Bioreference Health, LlcClinical LaboratoryNJ$440.4K25.1K$17.54
Laboratory Corporation Of AmericaClinical LaboratoryTX$434.6K24.7K$17.56
Quest Diagnostics Clinical Laboratories IncClinical LaboratoryFL$423.0K24.1K$17.57
Labone LlcClinical LaboratoryKS$385.0K21.9K$17.57
Esoterix, IncClinical LaboratoryCA$316.0K18.0K$17.57
Quest Diagnostics Llc IlClinical LaboratoryIL$309.6K17.6K$17.57

🤔 Is Measurement of antibody for assessment of autoimmune disorder, any method Overpriced?

Based on the data, CPT 86235 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 23.3% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.