CPT 86703: HIV Antibody Immunoassay
Commercial payers pay $34 on average nationally for this procedure.
CPT code 86703 describes a laboratory immunoassay performed on a patient specimen, typically serum, to detect antibodies to HIV‑1 or HIV‑2 and reports a single antibody result; this is a clinical laboratory test usually provided as an ambulatory or outpatient laboratory service in a clinical laboratory or hospital outpatient setting.
For related coverage guidance, see recent payer policy updates: Diagnosis of Idiopathic Environmental Intolerance, Allergen Testing, Allergen Testing.
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National Reimbursement Benchmarks
For CPT 86703 the national commercial average (BUCA) sits at $33.90, anchoring an overall market midpoint while individual payers display meaningful variation around that level. Blue Cross Blue Shield shows the highest central tendency with a mean of $49.60 and a median of $42.60, while Aetna and UnitedHealth Group center much lower near $11.80 and $12.00 mean rates respectively; Cigna’s mean is $14.80. BUCA provides a useful average commercial reference point at $33.90 without minimum or maximum bounds.
Dispersion measured by the interquartile range (P75–P25) highlights Blue Cross Blue Shield as relatively wide with a spread of $22.20, reflecting substantial variability in contracted rates, followed by Cigna at $11.80. UnitedHealth Group and BUCA are moderate with spreads of $7.70 and $15.60 respectively, while Aetna is the tightest with a spread of $5.00, indicating the least middle-range variability among these payers.