{"procedure":{"code_type":"CPT","code":"86486","lay_name":"Skin test with an unlisted antigen, each test","blurb":"Skin test using an antigen that has no specific code of its own; the charge applies to each single antigen tested.","slug":"cpt-86486-skin-test-with-an-unlisted-antigen-each-test","description":"SKIN TEST UNLISTED ANTIGN EA","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"235","label":"Other Laboratory","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:27:14.539774Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":285,"n_usable":272,"n_not_usable":1,"n_labelled":4,"n_no_cash":8,"n_estimated":0,"n_states":37,"cash_p10":10.5,"cash_p20":19.6,"cash_p25":24.42,"cash_p50":43.8,"cash_p75":68.0,"cash_p80":74.0,"cash_p90":223.0,"cash_mean_trimmed":44.4,"gross_p50":83.85,"cash_to_gross_p50":0.6,"medicare_rate":29.55,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.4822,"by_state":[{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":9,"p20":null,"p50":null,"p80":null},{"state":"CA","n":43,"p20":58.76,"p50":63.84,"p80":63.84},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":48.57,"p50":48.57,"p80":48.57},{"state":"IL","n":15,"p20":4.9,"p50":12.6,"p80":43.8},{"state":"IN","n":7,"p20":null,"p50":null,"p80":null},{"state":"KY","n":8,"p20":null,"p50":null,"p80":null},{"state":"LA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":5,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":17,"p20":20.97,"p50":27.11,"p80":32.13},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":20,"p20":28.98,"p50":28.98,"p80":36.1},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":18,"p20":10.5,"p50":10.5,"p80":24.42},{"state":"PA","n":8,"p20":null,"p50":null,"p80":null},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":11,"p20":27.55,"p50":31.35,"p80":31.35},{"state":"TX","n":18,"p20":55.89,"p50":96.75,"p80":376.63},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":10,"p20":38.91,"p50":68.0,"p80":68.0},{"state":"WI","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":251,"p20":19.6,"p50":41.73,"p80":71.04},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":14,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":38,"p20":15.79,"p50":96.75,"p80":255.0},{"key":"government","n":37,"p20":15.0,"p50":30.8,"p80":64.0},{"key":"nonprofit","n":197,"p20":22.75,"p50":46.2,"p80":68.0}],"affiliation":[{"key":"affiliated","n":235,"p20":23.5,"p50":48.57,"p80":77.7},{"key":"independent","n":37,"p20":12.6,"p50":32.0,"p80":71.04}]},"histogram":[{"lo":8.87,"hi":12.5,"n":19},{"lo":12.5,"hi":17.61,"n":17},{"lo":17.61,"hi":24.8,"n":26},{"lo":24.8,"hi":34.94,"n":45},{"lo":34.94,"hi":49.23,"n":36},{"lo":49.23,"hi":69.36,"n":58},{"lo":69.36,"hi":97.71,"n":13},{"lo":97.71,"hi":137.66,"n":11},{"lo":137.66,"hi":193.95,"n":4},{"lo":193.95,"hi":273.24,"n":17}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-01","filing_date_max":"2026-09-15","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":178,"n_usable":166,"n_not_usable":0,"n_labelled":5,"n_no_cash":7,"n_estimated":0,"n_states":28,"cash_p10":10.5,"cash_p20":24.05,"cash_p25":25.54,"cash_p50":53.4,"cash_p75":69.3,"cash_p80":77.7,"cash_p90":223.0,"cash_mean_trimmed":51.44,"gross_p50":99.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":37,"p20":58.76,"p50":63.84,"p80":63.84},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":48.57,"p50":48.57,"p80":48.57},{"state":"IL","n":10,"p20":4.9,"p50":10.2,"p80":43.8},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":4,"p20":null,"p50":null,"p80":null},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":16,"p20":10.5,"p50":10.5,"p80":24.42},{"state":"PA","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":8,"p20":null,"p50":null,"p80":null},{"state":"TX","n":11,"p20":55.89,"p50":69.3,"p80":108.68},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":10,"p20":38.91,"p50":68.0,"p80":68.0},{"state":"WI","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":148,"p20":23.61,"p50":55.89,"p80":73.2},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":12,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":15,"p20":null,"p50":null,"p80":null},{"key":"government","n":17,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":134,"p20":24.42,"p50":58.76,"p80":73.08}],"affiliation":[{"key":"affiliated","n":148,"p20":24.42,"p50":58.76,"p80":96.75},{"key":"independent","n":18,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":8.05,"hi":11.37,"n":15},{"lo":11.37,"hi":16.07,"n":4},{"lo":16.07,"hi":22.7,"n":4},{"lo":22.7,"hi":32.07,"n":22},{"lo":32.07,"hi":45.31,"n":11},{"lo":45.31,"hi":64.01,"n":52},{"lo":64.01,"hi":90.43,"n":19},{"lo":90.43,"hi":127.76,"n":9},{"lo":127.76,"hi":180.5,"n":1},{"lo":180.5,"hi":255.0,"n":15}],"previous":null}},"related":[{"code_type":"CPT","code":"36415","lay_name":"Routine blood draw from a vein","slug":"cpt-36415-routine-blood-draw-from-a-vein"},{"code_type":"CPT","code":"80076","lay_name":"Liver function blood panel","slug":"cpt-80076-liver-function-blood-panel"},{"code_type":"CPT","code":"80061","lay_name":"Cholesterol blood panel","slug":"cpt-80061-cholesterol-blood-panel"},{"code_type":"CPT","code":"86900","lay_name":"ABO blood type test","slug":"cpt-86900-abo-blood-type-test"},{"code_type":"CPT","code":"86901","lay_name":"Rh blood type test","slug":"cpt-86901-rh-blood-type-test"},{"code_type":"CPT","code":"86140","lay_name":"C-reactive protein blood test","slug":"cpt-86140-c-reactive-protein-blood-test"},{"code_type":"CPT","code":"80202","lay_name":"Vancomycin blood level","slug":"cpt-80202-vancomycin-blood-level"},{"code_type":"CPT","code":"86850","lay_name":"Red blood cell antibody screen","slug":"cpt-86850-red-blood-cell-antibody-screen"},{"code_type":"CPT","code":"80164","lay_name":"Valproic acid blood level, total","slug":"cpt-80164-valproic-acid-blood-level-total"},{"code_type":"CPT","code":"86762","lay_name":"Blood test for rubella antibodies","slug":"cpt-86762-blood-test-for-rubella-antibodies"},{"code_type":"CPT","code":"80162","lay_name":"Digoxin blood level, total","slug":"cpt-80162-digoxin-blood-level-total"},{"code_type":"CPT","code":"86803","lay_name":"Hepatitis C antibody blood test","slug":"cpt-86803-hepatitis-c-antibody-blood-test"}]}