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Procedure price report · Other Laboratory

COVID-19 neutralizing antibody level (titer)

CPT 86409the billing code this page is about

Blood test that measures the amount of antibodies able to block the COVID-19 virus, reported as a titer rather than a simple positive or negative result.

Hospitals typically charge $110 cash for this outpatient procedure — the median across 220 hospitals that filed a usable cash price; the average of the middle 60% is $153. Most fall between $68 and $342 (20th–80th percentile).

Hospitals
220
States
33
Filings dated
May 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 220 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
$45$74$110$329$428

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($45 vs $428).

How the prices are spread

$35 – $46: 13 hospitals$35$46 – $61: 1 hospitals$61 – $79: 32 hospitals$61$79 – $104: 50 hospitals$104 – $136: 17 hospitals$104$136 – $179: 18 hospitals$179 – $234: 14 hospitals$179$234 – $307: 9 hospitals$307 – $402: 27 hospitals$307$402 – $527: 22 hospitals$402median $110price bands are equal on a log scale
Hospitals per price band (203 of 220 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$4613
$46$611
$61$7932
$79$10450
$104$13617
$136$17918
$179$23414
$234$3079
$307$40227
$402$52722

By state

The median cash price in each state, against the national median of $110.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 2 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 5 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 4 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $80 across 16 hospitalsNY$80Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $160 across 12 hospitalsIA$160Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $527 across 15 hospitalsOH$527Pennsylvania: 1 hospital filed a usable price — fewer than 10, so no figurePANew Jersey: median $88 across 24 hospitalsNJ$88Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $342 across 19 hospitalsCA$342Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $45 across 10 hospitalsMS$45Alabama: no hospital in the corpus filed a usable priceALGeorgia: median $68 across 24 hospitalsGA$68Hawaii: no hospital in the corpus filed a usable priceHITexas: median $428 across 21 hospitalsTX$428Florida: median $64 across 10 hospitalsFL$64
Cash price by state, most expensive first. National median $110. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH15$527+379%$374 – $618
Texas TX21$428+289%$74 – $428
California CA19$342+211%$342 – $342
Iowa IA12$160+46%$160 – $160
New Jersey NJ24$88−20%$80 – $88
New York NY16$80−28%$80 – $126
Georgia GA24$68−38%$68 – $186
Florida FL10$64−42%$64 – $80
Mississippi MS10$45−59%$39 – $82
Washington WA8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Wisconsin WI5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Michigan MI4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Illinois IL2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Pennsylvania PA1not enough hospitals filed a usable price
Rhode Island RI1not 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 $110.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care198$110$68 – $342
Children’s3fewer than 20 hospitals
Critical access16fewer than 20 hospitals
Ownership
For-profit22$119$68 – $428
Government20$80$68 – $186
Non-profit175$120$68 – $342
System affiliation
Part of a system206$110$68 – $342
Independent14fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$302
Median cash price$110
Cash as a share of list, median hospital50%

At the typical hospital, asking for the cash price cuts the list price by about 50%. 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

149 hospitals filed a usable inpatient cash price for this code. The median is $160 and the average of the middle 60% is $182; most fall between $68 and $370.

Cash price percentiles, inpatient, across 149 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
$43$68$160$342$428

The most expensive tenth of hospitals charges at least 10.0× what the cheapest tenth charges ($43 vs $428).

Of the 160 hospitals that filed this code inpatient, 149 gave a usable cash price; 8 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

220 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 225 hospitals that filed this code at all gave us
Usable cash price — counted220
Cash price carrying a plausibility flag — shown on the compare tool, excluded here1
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded2
Hospitals that filed this code225

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 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 NEUTRLZG ANTB SARSCOV2 TITER.

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, “COVID-19 neutralizing antibody level (titer) (CPT 86409) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86409-covid-19-neutralizing-antibody-level-titer