Last updated: March 2026
How Much Does Celiac Disease Test Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| tTG-IgA (Tissue Transglutaminase) | $50 – $120 | $10 – $30 |
| Celiac Panel (tTG-IgA, DGP, Total IgA) | $100 – $250 | $25 – $60 |
| Endomysial Antibody (EMA) | $75 – $175 | $20 – $45 |
| Genetic Test (HLA-DQ2/DQ8) | $150 – $350 | $35 – $80 |
CPT/ADA Code: CPT 86364
What Affects the Cost
- Facility type (freestanding center vs. hospital — hospitals cost 2-3x more)
- Geographic location
- Complexity of the visit or test
- Whether additional tests or procedures are needed
- In-network vs. out-of-network provider
- Time of day (emergency/after-hours may cost more)
Insurance Coverage
Typical coverage: Covered as diagnostic when symptoms or family history present
Most diagnostic tests and urgent care visits are covered when medically necessary with a doctor's order. You'll pay your deductible first, then coinsurance (typically 20-40%). Preventive screenings are covered at $0 under the ACA. Always use in-network providers to avoid surprise bills.
How to Save Money
- Freestanding facilities cost 50-70% less than hospital-based
- Ask for cash-pay pricing upfront — often 40-60% less than billed rate
- Compare prices on MDsave.com or Healthcare Bluebook
- Use urgent care instead of ER for non-emergencies (save $1,000+)
- Telehealth visits cost $50-$100 for many conditions
- Check if the service qualifies as preventive care ($0 with insurance)
Related Procedures & Costs
Frequently Asked Questions
A basic tTG-IgA blood test costs $50-$120 without insurance. A comprehensive celiac panel runs $100-$250. If a biopsy is needed to confirm, endoscopy costs add $1,000-$3,000.
Yes. You must be eating gluten regularly for at least 2-6 weeks before testing. Going gluten-free before the test can cause false-negative results because antibody levels drop.
At-home celiac screening kits ($25-$75) test for tTG-IgA antibodies using a finger prick. They are reasonably accurate but should be confirmed by a doctor with follow-up blood work.