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Procedure price report · Other Laboratory

Antinuclear antibody level (titer)

CPT 86039the billing code this page is about

Measures how much antinuclear antibody is present in blood, reported as a titer, usually after a positive screen.

Hospitals typically charge $49 cash for this outpatient procedure — the median across 2,811 hospitals that filed a usable cash price; the average of the middle 60% is $53. Most fall between $20 and $100 (20th–80th percentile).

Hospitals
2,811
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,811 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$13$23$49$87$149

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($13 vs $149).

How the prices are spread

$9 – $13: 150 hospitals$9$13 – $17: 194 hospitals$17 – $24: 240 hospitals$17$24 – $33: 270 hospitals$33 – $45: 273 hospitals$33$45 – $61: 379 hospitals$61 – $84: 414 hospitals$61$84 – $116: 312 hospitals$116 – $159: 189 hospitals$116$159 – $218: 123 hospitals$159median $49price bands are equal on a log scale
Hospitals per price band (2,544 of 2,811 — the bands cover the 5th to 95th percentile)
FromToHospitals
$9$13150
$13$17194
$17$24240
$24$33270
$33$45273
$45$61379
$61$84414
$84$116312
$116$159189
$159$218123

By state

The median cash price in each state, against the national median of $49.

Alaska: median $56 across 12 hospitalsAK$56Maine: median $28 across 25 hospitalsME$28Vermont: median $86 across 12 hospitalsVT$86New Hampshire: median $60 across 18 hospitalsNH$60Washington: median $47 across 45 hospitalsWA$47Idaho: median $41 across 21 hospitalsID$41Montana: median $62 across 27 hospitalsMT$62North Dakota: median $70 across 31 hospitalsND$70Minnesota: median $55 across 101 hospitalsMN$55Illinois: median $60 across 110 hospitalsIL$60Wisconsin: median $78 across 100 hospitalsWI$78Michigan: median $44 across 93 hospitalsMI$44New York: median $34 across 95 hospitalsNY$34Massachusetts: median $54 across 52 hospitalsMA$54Oregon: median $43 across 46 hospitalsOR$43Nevada: median $34 across 16 hospitalsNV$34Wyoming: median $45 across 15 hospitalsWY$45South Dakota: median $94 across 41 hospitalsSD$94Iowa: median $54 across 84 hospitalsIA$54Indiana: median $63 across 83 hospitalsIN$63Ohio: median $47 across 122 hospitalsOH$47Pennsylvania: median $61 across 120 hospitalsPA$61New Jersey: median $13 across 55 hospitalsNJ$13Connecticut: median $43 across 23 hospitalsCT$43Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $17 across 133 hospitalsCA$17Utah: median $62 across 40 hospitalsUT$62Colorado: median $63 across 57 hospitalsCO$63Nebraska: median $71 across 64 hospitalsNE$71Missouri: median $43 across 74 hospitalsMO$43Kentucky: median $54 across 39 hospitalsKY$54West Virginia: median $55 across 32 hospitalsWV$55Virginia: median $81 across 49 hospitalsVA$81Maryland: median $74 across 40 hospitalsMD$74Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $44 across 35 hospitalsAZ$44New Mexico: median $99 across 20 hospitalsNM$99Kansas: median $65 across 68 hospitalsKS$65Arkansas: median $43 across 23 hospitalsAR$43Tennessee: median $22 across 61 hospitalsTN$22North Carolina: median $32 across 71 hospitalsNC$32South Carolina: median $91 across 32 hospitalsSC$91Oklahoma: median $35 across 66 hospitalsOK$35Louisiana: median $29 across 46 hospitalsLA$29Mississippi: median $34 across 48 hospitalsMS$34Alabama: median $57 across 29 hospitalsAL$57Georgia: median $52 across 86 hospitalsGA$52Hawaii: median $56 across 14 hospitalsHI$56Texas: median $30 across 192 hospitalsTX$30Florida: median $29 across 129 hospitalsFL$29
Cash price by state, most expensive first. National median $49. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Mexico NM20$99+101%$45 – $136
South Dakota SD41$94+91%$57 – $151
South Carolina SC32$91+85%$60 – $92
Vermont VT12$86+74%$33 – $198
Virginia VA49$81+64%$48 – $122
Wisconsin WI100$78+58%$45 – $94
Maryland MD40$74+50%$56 – $91
Nebraska NE64$71+44%$33 – $100
North Dakota ND31$70+41%$21 – $87
Kansas KS68$65+33%$39 – $89
Indiana IN83$63+28%$27 – $142
Colorado CO57$63+27%$27 – $96
Utah UT40$62+26%$41 – $73
Montana MT27$62+25%$16 – $77
Pennsylvania PA120$61+23%$17 – $120
Illinois IL110$60+22%$28 – $128
New Hampshire NH18$60+21%$13 – $128
Alabama AL29$57+15%$17 – $124
Hawaii HI14$56+14%$23 – $104
Alaska AK12$56+14%$48 – $131
Minnesota MN101$55+12%$15 – $99
West Virginia WV32$55+11%$33 – $65
Massachusetts MA52$54+10%$36 – $115
Kentucky KY39$54+9%$27 – $140
Iowa IA84$54+9%$40 – $86
Georgia GA86$52+6%$27 – $103
Ohio OH122$47−4%$22 – $82
Washington WA45$47−4%$22 – $96
Wyoming WY15$45−9%$41 – $76
Michigan MI93$44−10%$15 – $77
Arizona AZ35$44−11%$14 – $308
Connecticut CT23$43−13%$19 – $65
Arkansas AR23$43−13%$16 – $71
Oregon OR46$43−13%$30 – $70
Missouri MO74$43−14%$23 – $89
Idaho ID21$41−17%$16 – $94
Oklahoma OK66$35−30%$24 – $78
Mississippi MS48$34−31%$9 – $55
Nevada NV16$34−31%$11 – $61
New York NY95$34−31%$11 – $99
North Carolina NC71$32−35%$25 – $105
Texas TX192$30−39%$20 – $192
Louisiana LA46$29−40%$17 – $78
Florida FL129$29−41%$9 – $134
Maine ME25$28−43%$14 – $72
Tennessee TN61$22−56%$13 – $69
California CA133$17−65%$7 – $81
New Jersey NJ55$13−74%$12 – $48
Rhode Island RI9not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $49.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,998$46$17 – $99
Children’s60$58$26 – $108
Critical access743$63$31 – $99
Ownership
For-profit356$58$20 – $206
Government443$47$19 – $89
Non-profit2,002$49$20 – $94
System affiliation
Part of a system2,357$49$20 – $102
Independent454$50$20 – $90

Cash price vs list price

Median list price (chargemaster)$80
Median cash price$49
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,961 hospitals filed a usable inpatient cash price for this code. The median is $50 and the average of the middle 60% is $54; most fall between $20 and $101.

Cash price percentiles, inpatient, across 1,961 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$13$25$50$88$148

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($13 vs $148).

Of the 2,152 hospitals that filed this code inpatient, 1,961 gave a usable cash price; 105 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 86 a list price only.

How complete is this

2,811 of the 3,956 hospitals with a price file in our corpus (71%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,052 hospitals that filed this code at all gave us
Usable cash price — counted2,811
Cash price carrying a plausibility flag — shown on the compare tool, excluded here141
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded99
Hospitals that filed this code3,052

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other Laboratory family.

Hospitals file this code under descriptions such as HC Anti-Nuclear Ab(Anar)-Quant W Reflex.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Antinuclear antibody level (titer) (CPT 86039) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86039-antinuclear-antibody-level-titer