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Fluorescent Antibody Test For An Organism

Montana rates for HCPCS 87265

A test that looks directly for a specific germ in a sample from the patient by using antibodies tagged with a fluorescent dye. If the organism is present the dye makes it glow under a special microscope, giving a direct answer without growing a culture.

Rates data updated July 2026.

How much does Fluorescent Antibody Test For An Organism cost?

$15.14

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $19.05 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.80$11.22 to $17.78
FacilityA hospital or hospital-owned outpatient department$19.05$15.14 to $36.31

How much rates vary

Facilitymedian $19 · 10th to 90th $15 to $91Professionalmedian $14 · 10th to 90th $11 to $46
$10$100$1K$10K$100Kfacility $19professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$64,565.42
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$17.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$67.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$16.60

Where Montana sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 10th of 51

$15.14

HI $21.88DC $8.91

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.