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Procedure price report · Other Laboratory

Blood test for Rickettsia antibodies

CPT 86757the billing code this page is about

A blood test that looks for antibodies to Rickettsia bacteria, the group that causes illnesses such as spotted fever and typhus.

Hospitals typically charge $64 cash for this outpatient procedure — the median across 2,898 hospitals that filed a usable cash price; the average of the middle 60% is $68. Most fall between $25 and $134 (20th–80th percentile).

Hospitals
2,898
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 2,898 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
$18$31$64$120$193

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($18 vs $193).

How the prices are spread

$12 – $16: 117 hospitals$12$16 – $22: 264 hospitals$22 – $30: 194 hospitals$22$30 – $41: 320 hospitals$41 – $57: 278 hospitals$41$57 – $77: 392 hospitals$77 – $105: 342 hospitals$77$105 – $143: 350 hospitals$143 – $195: 221 hospitals$143$195 – $266: 140 hospitals$195median $64price bands are equal on a log scale
Hospitals per price band (2,618 of 2,898 — the bands cover the 5th to 95th percentile)
FromToHospitals
$12$16117
$16$22264
$22$30194
$30$41320
$41$57278
$57$77392
$77$105342
$105$143350
$143$195221
$195$266140

By state

The median cash price in each state, against the national median of $64.

Alaska: median $81 across 13 hospitalsAK$81Maine: median $50 across 25 hospitalsME$50Vermont: median $169 across 11 hospitalsVT$169New Hampshire: median $64 across 22 hospitalsNH$64Washington: median $86 across 54 hospitalsWA$86Idaho: median $59 across 19 hospitalsID$59Montana: median $75 across 25 hospitalsMT$75North Dakota: median $105 across 23 hospitalsND$105Minnesota: median $57 across 72 hospitalsMN$57Illinois: median $80 across 126 hospitalsIL$80Wisconsin: median $95 across 97 hospitalsWI$95Michigan: median $20 across 52 hospitalsMI$20New York: median $34 across 98 hospitalsNY$34Massachusetts: median $102 across 49 hospitalsMA$102Oregon: median $62 across 32 hospitalsOR$62Nevada: median $95 across 17 hospitalsNV$95Wyoming: median $65 across 16 hospitalsWY$65South Dakota: median $93 across 26 hospitalsSD$93Iowa: median $49 across 65 hospitalsIA$49Indiana: median $66 across 84 hospitalsIN$66Ohio: median $74 across 129 hospitalsOH$74Pennsylvania: median $81 across 117 hospitalsPA$81New Jersey: median $21 across 54 hospitalsNJ$21Connecticut: median $81 across 21 hospitalsCT$81Rhode Island: median $64 across 10 hospitalsRI$64California: median $19 across 106 hospitalsCA$19Utah: median $26 across 38 hospitalsUT$26Colorado: median $64 across 58 hospitalsCO$64Nebraska: median $122 across 75 hospitalsNE$122Missouri: median $57 across 73 hospitalsMO$57Kentucky: median $77 across 59 hospitalsKY$77West Virginia: median $23 across 36 hospitalsWV$23Virginia: median $84 across 73 hospitalsVA$84Maryland: median $49 across 35 hospitalsMD$49Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $118 across 41 hospitalsAZ$118New Mexico: median $95 across 17 hospitalsNM$95Kansas: median $131 across 81 hospitalsKS$131Arkansas: median $28 across 40 hospitalsAR$28Tennessee: median $43 across 80 hospitalsTN$43North Carolina: median $62 across 88 hospitalsNC$62South Carolina: median $127 across 51 hospitalsSC$127Oklahoma: median $58 across 73 hospitalsOK$58Louisiana: median $46 across 47 hospitalsLA$46Mississippi: median $33 across 55 hospitalsMS$33Alabama: median $44 across 43 hospitalsAL$44Georgia: median $89 across 95 hospitalsGA$89Hawaii: median $129 across 16 hospitalsHI$129Texas: median $67 across 226 hospitalsTX$67Florida: median $19 across 128 hospitalsFL$19
Cash price by state, most expensive first. National median $64. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Vermont VT11$169+166%$76 – $265
Kansas KS81$131+106%$64 – $182
Hawaii HI16$129+103%$36 – $158
South Carolina SC51$127+100%$69 – $182
Nebraska NE75$122+92%$53 – $158
Arizona AZ41$118+85%$29 – $204
North Dakota ND23$105+65%$34 – $140
Massachusetts MA49$102+61%$53 – $181
New Mexico NM17$95+50%$62 – $111
Wisconsin WI97$95+49%$51 – $131
Nevada NV17$95+49%$21 – $126
South Dakota SD26$93+47%$57 – $211
Georgia GA95$89+40%$39 – $129
Washington WA54$86+35%$42 – $116
Virginia VA73$84+32%$34 – $155
Alaska AK13$81+28%$23 – $112
Connecticut CT21$81+28%$48 – $117
Pennsylvania PA117$81+27%$22 – $193
Illinois IL126$80+26%$49 – $147
Kentucky KY59$77+21%$37 – $205
Montana MT25$75+18%$39 – $105
Ohio OH129$74+17%$40 – $116
Texas TX226$67+5%$19 – $182
Indiana IN84$66+4%$35 – $105
Wyoming WY16$65+2%$49 – $129
New Hampshire NH22$64+1%$30 – $262
Colorado CO58$64+1%$36 – $125
Rhode Island RI10$640%$45 – $155
North Carolina NC88$62−2%$20 – $154
Oregon OR32$62−3%$31 – $108
Idaho ID19$59−7%$20 – $87
Oklahoma OK73$58−9%$40 – $94
Missouri MO73$57−10%$19 – $111
Minnesota MN72$57−11%$34 – $121
Maine ME25$50−21%$16 – $113
Maryland MD35$49−23%$42 – $62
Iowa IA65$49−24%$36 – $83
Louisiana LA47$46−27%$20 – $77
Alabama AL43$44−31%$29 – $138
Tennessee TN80$43−32%$31 – $83
New York NY98$34−46%$19 – $86
Mississippi MS55$33−48%$17 – $75
Arkansas AR40$28−55%$20 – $48
Utah UT38$26−59%$22 – $121
West Virginia WV36$23−63%$8 – $122
New Jersey NJ54$21−66%$19 – $66
Michigan MI52$20−69%$10 – $31
Florida FL128$19−70%$12 – $73
California CA106$19−70%$10 – $34
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 $64.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,078$58$22 – $129
Children’s44$48$26 – $98
Critical access768$84$37 – $141
Ownership
For-profit405$77$25 – $220
Government524$68$31 – $134
Non-profit1,961$60$23 – $123
System affiliation
Part of a system2,379$62$23 – $135
Independent519$67$33 – $131

Cash price vs list price

Median list price (chargemaster)$109
Median cash price$64
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

1,963 hospitals filed a usable inpatient cash price for this code. The median is $64 and the average of the middle 60% is $68; most fall between $27 and $129.

Cash price percentiles, inpatient, across 1,963 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
$18$34$64$117$178

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($18 vs $178).

Of the 2,177 hospitals that filed this code inpatient, 1,963 gave a usable cash price; 112 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 101 a list price only.

How complete is this

2,898 of the 3,956 hospitals with a price file in our corpus (73%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,164 hospitals that filed this code at all gave us
Usable cash price — counted2,898
Cash price carrying a plausibility flag — shown on the compare tool, excluded here146
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 — excluded117
Hospitals that filed this code3,164

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 Rocky Mt Fever Igm.

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, “Blood test for Rickettsia antibodies (CPT 86757) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86757-blood-test-for-rickettsia-antibodies