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Procedure price report · Other Laboratory

Epstein-Barr virus nuclear antigen antibody test

CPT 86664the billing code this page is about

A blood test for antibodies against the nuclear antigen of Epstein-Barr virus, which typically indicates past rather than recent infection.

Hospitals typically charge $68 cash for this outpatient procedure — the median across 3,205 hospitals that filed a usable cash price; the average of the middle 60% is $68. Most fall between $26 and $121 (20th–80th percentile).

Hospitals
3,205
States
50
Filings dated
Dec 2022 – 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 3,205 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
$15$31$68$109$167

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($15 vs $167).

How the prices are spread

$11 – $14: 142 hospitals$11$14 – $20: 190 hospitals$20 – $28: 226 hospitals$20$28 – $38: 250 hospitals$38 – $53: 364 hospitals$38$53 – $73: 426 hospitals$73 – $100: 514 hospitals$73$100 – $138: 478 hospitals$138 – $191: 218 hospitals$138$191 – $264: 95 hospitals$191median $68price bands are equal on a log scale
Hospitals per price band (2,903 of 3,205 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$14142
$14$20190
$20$28226
$28$38250
$38$53364
$53$73426
$73$100514
$100$138478
$138$191218
$191$26495

By state

The median cash price in each state, against the national median of $68.

Alaska: median $84 across 18 hospitalsAK$84Maine: median $43 across 28 hospitalsME$43Vermont: median $71 across 14 hospitalsVT$71New Hampshire: median $76 across 24 hospitalsNH$76Washington: median $87 across 75 hospitalsWA$87Idaho: median $63 across 24 hospitalsID$63Montana: median $82 across 29 hospitalsMT$82North Dakota: median $89 across 30 hospitalsND$89Minnesota: median $59 across 102 hospitalsMN$59Illinois: median $85 across 134 hospitalsIL$85Wisconsin: median $83 across 104 hospitalsWI$83Michigan: median $36 across 98 hospitalsMI$36New York: median $31 across 103 hospitalsNY$31Massachusetts: median $81 across 52 hospitalsMA$81Oregon: median $68 across 47 hospitalsOR$68Nevada: median $78 across 19 hospitalsNV$78Wyoming: median $77 across 15 hospitalsWY$77South Dakota: median $86 across 33 hospitalsSD$86Iowa: median $69 across 84 hospitalsIA$69Indiana: median $57 across 94 hospitalsIN$57Ohio: median $69 across 138 hospitalsOH$69Pennsylvania: median $72 across 120 hospitalsPA$72New Jersey: median $18 across 57 hospitalsNJ$18Connecticut: median $66 across 23 hospitalsCT$66Rhode Island: median $89 across 10 hospitalsRI$89California: median $41 across 133 hospitalsCA$41Utah: median $81 across 42 hospitalsUT$81Colorado: median $53 across 63 hospitalsCO$53Nebraska: median $97 across 74 hospitalsNE$97Missouri: median $71 across 73 hospitalsMO$71Kentucky: median $46 across 68 hospitalsKY$46West Virginia: median $45 across 43 hospitalsWV$45Virginia: median $88 across 72 hospitalsVA$88Maryland: median $90 across 40 hospitalsMD$90Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $85 across 42 hospitalsAZ$85New Mexico: median $73 across 26 hospitalsNM$73Kansas: median $86 across 88 hospitalsKS$86Arkansas: median $27 across 38 hospitalsAR$27Tennessee: median $53 across 77 hospitalsTN$53North Carolina: median $68 across 85 hospitalsNC$68South Carolina: median $107 across 51 hospitalsSC$107Oklahoma: median $58 across 66 hospitalsOK$58Louisiana: median $41 across 50 hospitalsLA$41Mississippi: median $42 across 53 hospitalsMS$42Alabama: median $59 across 44 hospitalsAL$59Georgia: median $68 across 104 hospitalsGA$68Hawaii: median $99 across 15 hospitalsHI$99Texas: median $90 across 230 hospitalsTX$90Florida: median $23 across 146 hospitalsFL$23
Cash price by state, most expensive first. National median $68. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC51$107+58%$61 – $117
Hawaii HI15$99+47%$40 – $148
Nebraska NE74$97+44%$38 – $136
Texas TX230$90+33%$35 – $216
Maryland MD40$90+33%$66 – $107
North Dakota ND30$89+32%$27 – $126
Rhode Island RI10$89+31%$35 – $114
Virginia VA72$88+30%$14 – $166
Washington WA75$87+29%$48 – $142
South Dakota SD33$86+28%$50 – $149
Kansas KS88$86+27%$61 – $129
Arizona AZ42$85+27%$19 – $162
Illinois IL134$85+26%$43 – $138
Alaska AK18$84+24%$30 – $209
Wisconsin WI104$83+24%$48 – $108
Montana MT29$82+21%$54 – $111
Utah UT42$81+20%$80 – $94
Massachusetts MA52$81+20%$48 – $124
Nevada NV19$78+16%$15 – $208
Wyoming WY15$77+14%$32 – $156
New Hampshire NH24$76+13%$46 – $181
New Mexico NM26$73+7%$53 – $102
Pennsylvania PA120$72+7%$23 – $180
Vermont VT14$71+5%$28 – $241
Missouri MO73$71+5%$30 – $128
Iowa IA84$69+2%$44 – $108
Ohio OH138$69+2%$37 – $121
Georgia GA104$68+1%$31 – $116
Oregon OR47$68+1%$47 – $94
North Carolina NC85$68+1%$29 – $106
Connecticut CT23$66−2%$50 – $127
Idaho ID24$63−7%$14 – $114
Minnesota MN102$59−13%$28 – $121
Alabama AL44$59−13%$23 – $201
Oklahoma OK66$58−14%$42 – $81
Indiana IN94$57−16%$26 – $97
Colorado CO63$53−21%$19 – $111
Tennessee TN77$53−21%$14 – $112
Kentucky KY68$46−32%$28 – $141
West Virginia WV43$45−33%$30 – $108
Maine ME28$43−36%$36 – $113
Mississippi MS53$42−38%$16 – $88
California CA133$41−39%$8 – $87
Louisiana LA50$41−39%$23 – $73
Michigan MI98$36−47%$12 – $125
New York NY103$31−54%$15 – $78
Arkansas AR38$27−61%$14 – $69
Florida FL146$23−66%$10 – $136
New Jersey NJ57$18−74%$17 – $52
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 $68.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,227$61$22 – $118
Children’s62$89$30 – $135
Critical access906$78$38 – $123
Ownership
For-profit444$78$27 – $235
Government590$68$29 – $119
Non-profit2,161$66$25 – $115
System affiliation
Part of a system2,609$68$25 – $121
Independent596$66$28 – $116

Cash price vs list price

Median list price (chargemaster)$107
Median cash price$68
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

2,179 hospitals filed a usable inpatient cash price for this code. The median is $67 and the average of the middle 60% is $68; most fall between $28 and $115.

Cash price percentiles, inpatient, across 2,179 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
$17$34$67$107$159

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($17 vs $159).

Of the 2,401 hospitals that filed this code inpatient, 2,179 gave a usable cash price; 115 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 107 a list price only.

How complete is this

3,205 of the 3,956 hospitals with a price file in our corpus (81%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,490 hospitals that filed this code at all gave us
Usable cash price — counted3,205
Cash price carrying a plausibility flag — shown on the compare tool, excluded here157
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded126
Hospitals that filed this code3,490

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 July 20, 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 Epstein Barr Nuclear Antigen.

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, “Epstein-Barr virus nuclear antigen antibody test (CPT 86664) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86664-epstein-barr-virus-nuclear-antigen-antibody-test