# CPT 86256: Fluorescent antibody, titer

Medicare CPT 86256 pays $17.70 in a non-facility setting and $17.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.79 in Arkansas to $23.91 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/86256-cpt-fee-schedule
Section: Laboratory and Pathology
Billed by: Allergy & Immunology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $17.70 |
| National facility | $17.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $23.91 | $23.91 |
| District of Columbia | $19.34 | $19.34 |
| New Jersey | $19.02 | $19.02 |
| New York | $19.01 | $19.01 |
| California | $18.96 | $18.96 |
| Washington | $18.76 | $18.76 |
| Massachusetts | $18.66 | $18.66 |
| Connecticut | $18.42 | $18.42 |
| Hawaii | $18.29 | $18.29 |
| Colorado | $18.12 | $18.12 |
| Maryland | $18.11 | $18.11 |
| Rhode Island | $18.07 | $18.07 |
| Florida | $18.04 | $18.04 |
| Oregon | $17.99 | $17.99 |
| New Hampshire | $17.88 | $17.88 |
| Illinois | $17.87 | $17.87 |
| Puerto Rico | $17.76 | $17.76 |
| Virgin Islands | $17.76 | $17.76 |
| Pennsylvania | $17.73 | $17.73 |
| Montana | $17.70 | $17.70 |
| Delaware | $17.66 | $17.66 |
| Texas | $17.66 | $17.66 |
| Nevada | $17.65 | $17.65 |
| Minnesota | $17.62 | $17.62 |
| Wyoming | $17.62 | $17.62 |
| Georgia | $17.54 | $17.54 |
| Michigan | $17.51 | $17.51 |
| Virginia | $17.51 | $17.51 |
| North Dakota | $17.50 | $17.50 |
| Arizona | $17.49 | $17.49 |
| South Dakota | $17.48 | $17.48 |
| Vermont | $17.48 | $17.48 |
| Utah | $17.35 | $17.35 |
| Maine | $17.34 | $17.34 |
| New Mexico | $17.33 | $17.33 |
| Missouri | $17.26 | $17.26 |
| Louisiana | $17.25 | $17.25 |
| South Carolina | $17.25 | $17.25 |
| Wisconsin | $17.25 | $17.25 |
| Ohio | $17.24 | $17.24 |
| North Carolina | $17.22 | $17.22 |
| West Virginia | $17.15 | $17.15 |
| Indiana | $17.14 | $17.14 |
| Idaho | $17.10 | $17.10 |
| Kentucky | $17.08 | $17.08 |
| Nebraska | $17.08 | $17.08 |
| Oklahoma | $17.06 | $17.06 |
| Tennessee | $17.06 | $17.06 |
| Iowa | $17.05 | $17.05 |
| Kansas | $17.02 | $17.02 |
| Alabama | $16.89 | $16.89 |
| Mississippi | $16.87 | $16.87 |
| Arkansas | $16.79 | $16.79 |

## Related codes

- 86038: Antinuclear antibodies (ANA) — https://www.med-reveal.com/rates/86038-cpt-fee-schedule
- 86039: Antinuclear antibodies, titer — https://www.med-reveal.com/rates/86039-cpt-fee-schedule
- 86060: Antistreptolysin O, titer — https://www.med-reveal.com/rates/86060-cpt-fee-schedule
- 86077: Blood bank physician services, difficult crossmatch — https://www.med-reveal.com/rates/86077-cpt-fee-schedule
- 86141: C-reactive protein, high sensitivity — https://www.med-reveal.com/rates/86141-cpt-fee-schedule
- 86147: Cardiolipin antibody, each Ig class — https://www.med-reveal.com/rates/86147-cpt-fee-schedule
- 86159: Complement, antigen, each component — https://www.med-reveal.com/rates/86159-cpt-fee-schedule
- 86160: Complement, functional activity, each component — https://www.med-reveal.com/rates/86160-cpt-fee-schedule

Commercial negotiated rates for 86256 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules