Lab tests CPT 86431 Outpatient

Rheumatoid factor test cost in Washington, DC

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 7 hospitals list a cash price for rheumatoid factor (RF) test: from $7.00 to $48.00, with a median of $48.00. The lowest listed price is at Sentara Northern Virginia Medical Center — $41.00 less than the median here.

Cash prices at 7 facilities across 6 cities for code 86431, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$7.00Sentara Northern Virginia Medical Center
Median$48.00half pay less
Highest$48.00in this market
Difference6.9×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $7.00Highest $48.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sentara Northern Virginia Medical Center lowest Woodbridge, VA · (703) 523-1000 Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 — 50% Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O $10.50 $21.00 — 50% Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl Lc-Rheumassure-Ra Factor $20.50 $41.00 — 50% Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl (Qu) 86431 ?Rheumatoid Factor, La Titer, S/O $26.50 $53.00 — 50% Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl Ra, Quant. $31.00 $62.00 — 50% Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl Rf Quant $31.00 $62.00 — 50% Apr 1, 2026
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Jefferson Medical Center Ranson, WV · (304) 728-1600 RHEUMATOID FACTOR QUANT $37.00 $74.00 — 50% —
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Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC RHEUMATOID FACTOR QUANT $48.00 $96.00 $5.67–$74.88 50% —
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Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC RHEUMATOID FACTOR QUANT $48.00 $96.00 $5.67–$74.88 50% —
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Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC RHEUMATOID FACTOR QUANT $48.00 $96.00 $5.67–$74.88 50% —
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Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC RHEUMATOID FACTOR QUANT $48.00 $96.00 $5.67–$74.88 50% —
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Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC RHEUMATOID FACTOR QUANT $48.00 $96.00 $5.67–$74.88 50% —
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Outpatient: lowest $7.00, median $48.00, highest $48.00 — a 6.9× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $48.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Rheumatoid factor is an antibody found in many people with rheumatoid arthritis. The test is part of the workup for joint pain and swelling.

What the price covers

The price usually covers running the test. The blood draw (36415) is often billed as a separate line.