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Procedure price report · Other Laboratory

Syphilis blood test with antibody level (titer)

CPT 86593the billing code this page is about

Follow-up syphilis blood test that measures the strength of the reaction as a titer rather than a simple positive or negative result.

Hospitals typically charge $30 cash for this outpatient procedure — the median across 2,854 hospitals that filed a usable cash price; the average of the middle 60% is $32. Most fall between $12 and $62 (20th–80th percentile).

Hospitals
2,854
States
50
Filings dated
Nov 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 2,854 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
$7$14$30$53$98

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($7 vs $98).

How the prices are spread

$5 – $7: 130 hospitals$5$7 – $10: 194 hospitals$10 – $14: 208 hospitals$10$14 – $19: 298 hospitals$19 – $27: 342 hospitals$19$27 – $39: 449 hospitals$39 – $55: 418 hospitals$39$55 – $78: 239 hospitals$78 – $110: 193 hospitals$78$110 – $156: 99 hospitals$110median $30price bands are equal on a log scale
Hospitals per price band (2,570 of 2,854 — the bands cover the 5th to 95th percentile)
FromToHospitals
$5$7130
$7$10194
$10$14208
$14$19298
$19$27342
$27$39449
$39$55418
$55$78239
$78$110193
$110$15699

By state

The median cash price in each state, against the national median of $30.

Alaska: median $39 across 15 hospitalsAK$39Maine: median $25 across 23 hospitalsME$25Vermont: median $44 across 12 hospitalsVT$44New Hampshire: median $36 across 22 hospitalsNH$36Washington: median $25 across 66 hospitalsWA$25Idaho: median $20 across 17 hospitalsID$20Montana: median $32 across 20 hospitalsMT$32North Dakota: median $29 across 21 hospitalsND$29Minnesota: median $24 across 85 hospitalsMN$24Illinois: median $48 across 119 hospitalsIL$48Wisconsin: median $33 across 99 hospitalsWI$33Michigan: median $19 across 85 hospitalsMI$19New York: median $18 across 99 hospitalsNY$18Massachusetts: median $30 across 46 hospitalsMA$30Oregon: median $18 across 43 hospitalsOR$18Nevada: median $23 across 15 hospitalsNV$23Wyoming: median $39 across 10 hospitalsWY$39South Dakota: median $52 across 21 hospitalsSD$52Iowa: median $42 across 61 hospitalsIA$42Indiana: median $34 across 89 hospitalsIN$34Ohio: median $32 across 132 hospitalsOH$32Pennsylvania: median $31 across 116 hospitalsPA$31New Jersey: median $5 across 55 hospitalsNJ$5Connecticut: median $23 across 22 hospitalsCT$23Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $18 across 145 hospitalsCA$18Utah: median $82 across 35 hospitalsUT$82Colorado: median $30 across 55 hospitalsCO$30Nebraska: median $40 across 45 hospitalsNE$40Missouri: median $33 across 69 hospitalsMO$33Kentucky: median $35 across 60 hospitalsKY$35West Virginia: median $22 across 33 hospitalsWV$22Virginia: median $25 across 70 hospitalsVA$25Maryland: median $25 across 36 hospitalsMD$25Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $35 across 35 hospitalsAZ$35New Mexico: median $33 across 23 hospitalsNM$33Kansas: median $35 across 51 hospitalsKS$35Arkansas: median $10 across 32 hospitalsAR$10Tennessee: median $28 across 73 hospitalsTN$28North Carolina: median $26 across 81 hospitalsNC$26South Carolina: median $64 across 50 hospitalsSC$64Oklahoma: median $22 across 58 hospitalsOK$22Louisiana: median $19 across 47 hospitalsLA$19Mississippi: median $14 across 45 hospitalsMS$14Alabama: median $31 across 34 hospitalsAL$31Georgia: median $46 across 89 hospitalsGA$46Hawaii: median $40 across 17 hospitalsHI$40Texas: median $47 across 220 hospitalsTX$47Florida: median $24 across 144 hospitalsFL$24
Cash price by state, most expensive first. National median $30. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT35$82+169%$54 – $96
South Carolina SC50$64+112%$34 – $97
South Dakota SD21$52+71%$18 – $99
Illinois IL119$48+57%$22 – $82
Texas TX220$47+54%$22 – $161
Georgia GA89$46+51%$14 – $86
Vermont VT12$44+45%$24 – $63
Iowa IA61$42+37%$21 – $49
Nebraska NE45$40+32%$24 – $69
Hawaii HI17$40+30%$22 – $53
Wyoming WY10$39+29%$22 – $62
Alaska AK15$39+29%$13 – $90
New Hampshire NH22$36+18%$23 – $53
Kentucky KY60$35+16%$12 – $55
Arizona AZ35$35+16%$8 – $166
Kansas KS51$35+15%$23 – $81
Indiana IN89$34+11%$9 – $81
New Mexico NM23$33+9%$18 – $91
Wisconsin WI99$33+7%$18 – $42
Missouri MO69$33+7%$17 – $53
Montana MT20$32+5%$20 – $38
Ohio OH132$32+5%$19 – $57
Alabama AL34$31+3%$8 – $103
Pennsylvania PA116$310%$7 – $74
Massachusetts MA46$30−1%$14 – $52
Colorado CO55$30−2%$16 – $64
North Dakota ND21$29−4%$8 – $38
Tennessee TN73$28−7%$10 – $47
North Carolina NC81$26−13%$18 – $44
Virginia VA70$25−17%$8 – $55
Maine ME23$25−18%$13 – $62
Maryland MD36$25−18%$20 – $32
Washington WA66$25−18%$17 – $42
Florida FL144$24−22%$9 – $75
Minnesota MN85$24−22%$13 – $43
Connecticut CT22$23−23%$17 – $49
Nevada NV15$23−24%$4 – $37
Oklahoma OK58$22−27%$8 – $53
West Virginia WV33$22−28%$14 – $37
Idaho ID17$20−34%$19 – $26
Louisiana LA47$19−37%$8 – $44
Michigan MI85$19−38%$7 – $40
California CA145$18−41%$4 – $56
New York NY99$18−41%$6 – $87
Oregon OR43$18−41%$8 – $33
Mississippi MS45$14−54%$10 – $35
Arkansas AR32$10−66%$7 – $34
New Jersey NJ55$5−83%$4 – $15
Delaware DE7not enough hospitals filed a usable price
Rhode Island RI7not 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 $30.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,133$28$10 – $64
Children’s53$38$19 – $61
Critical access658$34$15 – $58
Ownership
For-profit395$34$11 – $136
Government454$30$13 – $55
Non-profit1,995$30$12 – $56
System affiliation
Part of a system2,391$31$12 – $62
Independent463$30$12 – $62

Cash price vs list price

Median list price (chargemaster)$50
Median cash price$30
Cash as a share of list, median hospital63%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

1,992 hospitals filed a usable inpatient cash price for this code. The median is $32 and the average of the middle 60% is $33; most fall between $13 and $61.

Cash price percentiles, inpatient, across 1,992 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
$8$16$32$53$96

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($8 vs $96).

Of the 2,199 hospitals that filed this code inpatient, 1,992 gave a usable cash price; 113 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 94 a list price only.

How complete is this

2,854 of the 3,956 hospitals with a price file in our corpus (72%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,112 hospitals that filed this code at all gave us
Usable cash price — counted2,854
Cash price carrying a plausibility flag — shown on the compare tool, excluded here152
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded103
Hospitals that filed this code3,112

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 Rpr (Syphylis), Quan.

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, “Syphilis blood test with antibody level (titer) (CPT 86593) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86593-syphilis-blood-test-with-antibody-level-titer