Lab tests CPT 86618 Virginia Outpatient

Lyme disease test cost in Virginia

In Virginia, 37 hospitals publish a cash price for Lyme disease antibody test: from $10.00 to $179.20, with a median of $63.90. The lowest price is at Hospital for Extended Recovery (Norfolk) and 9 other hospitals. The highest price is 17.9× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 86618. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$10.00Hospital for Extended Recovery + 9 more
Median$63.90half pay less
Highest$179.20in Virginia
Lowest saves$53.90vs the median

Hospitals in Virginia, cheapest first

HospitalCash price List priceFile date
Hospital for Extended Recovery lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 —
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Sentara Careplex Hospital lowest Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara Halifax Regional Hospital lowest South Boston · South Boston, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara Leigh Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara Martha Jefferson Hospital lowest Charlottesville · Charlottesville, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara Northern Virginia Medical Center lowest Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara Obici Hospital lowest Suffolk · Suffolk, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara Princess Anne Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara RMH Medical Center lowest Harrisonburg · Harrisonburg, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Sentara Virginia Beach General Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 Apr 1, 2026
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Augusta Health Fishersville · Staunton-Stuarts Draft, VA Aml-Lyme Sero Progressive $25.00 $50.00 Apr 1, 2026
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Dickenson Community Hospital Clintwood · Clintwood, VA HC LYME DISEASE AB $28.29 $123.00 Mar 23, 2026
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Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC LYME DISEASE AB $28.29 $123.00 Mar 23, 2026
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Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC LYME DISEASE AB $28.65 $191.00 Mar 23, 2026
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Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC LYME DISEASE AB $28.65 $191.00 —
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Russell County Hospital Lebanon · Lebanon, VA HC LYME DISEASE AB $28.65 $191.00 Mar 23, 2026
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Smyth County Community Hospital Marion · Marion, VA HC LYME DISEASE AB $28.65 $191.00 —
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Sovah Health - Danville Danville · Danville, VA Antibody; Borrelia burgdorferi (Lyme disease) $34.80 $87.00 —
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Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC So Lyme Disease Total Anitbodies $63.90 $213.00 —
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Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC So Lyme Disease Total Anitbodies $66.60 $111.00 —
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Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC So1 Lyme Disease Total Anitbodies $86.10 $287.00 —
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Bon Secours Southside Medical Center Petersburg · Richmond, VA HC So2 Lyme Disease Total Anitbodies $86.10 $287.00 —
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Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI $89.00 $178.00 —
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Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI $89.00 $178.00 —
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Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI TOTAL, SERUM $89.00 $178.00 —
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Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI TOTAL, SERUM $89.00 $178.00 —
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Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI TOTAL, SERUM $89.00 $178.00 —
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Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Antibody Borrelia Burgdorferi Lyme Disease $91.79 $152.98 —
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Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC So Lyme Disease Total Anitbodies $93.60 $156.00 —
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Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC So Lyme Disease Total Anitbodies $93.60 $156.00 —
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Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC So Lyme Disease Total Anitbodies $93.60 $156.00 —
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Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC So Lyme Disease Total Anitbodies $93.60 $156.00 —
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Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Lyme Disease Total Anitbodies $96.60 $161.00 —
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Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Lyme Disease Total Anitbodies $96.60 $161.00 —
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Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Lyme Disease Total Anitbodies $96.60 $161.00 —
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Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC B. BURGDORFERI AB(CSF) $163.49 $181.65 Mar 17, 2026
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Sovah Health - Martinsville Martinsville · Martinsville, VA Antibody; Borrelia burgdorferi (Lyme disease) $179.20 $448.00 —
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Virginia Beach-Chesapeake-Norfolk, VA-NC 10 $10.00 $50.90
Washington-Arlington-Alexandria, DC-VA-MD-WV 6 $10.00 $89.00
Richmond, VA 5 $86.10 $93.60
Big Stone Gap, VA 1 $28.65 $28.65
Clintwood, VA 1 $28.29 $28.29
Charlottesville, VA 1 $10.00 $10.00
Danville, VA 1 $34.80 $34.80
Emporia, VA 1 $86.10 $86.10
Harrisonburg, VA 1 $10.00 $10.00
Kilmarnock, VA 1 $66.60 $66.60
Kingsport-Bristol, TN-VA 1 $28.65 $28.65
Lebanon, VA 1 $28.65 $28.65
Marion, VA 1 $28.65 $28.65
Martinsville, VA 1 $179.20 $179.20
Pennington Gap, VA 1 $28.29 $28.29
Roanoke, VA 1 $63.90 $63.90
South Boston, VA 1 $10.00 $10.00
Suffolk, VA 1 $10.00 $10.00
Staunton-Stuarts Draft, VA 1 $25.00 $25.00

What it is

This blood test looks for antibodies to the bacteria that cause Lyme disease. A positive first test is confirmed with a second test.

What the price covers

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

Lyme disease antibody test in other states

Median cash price across the state's hospitals.