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Fluorescent Antibody Test For An Organism

New York 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?

$11.22

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $19.95 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 9 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$9.12$6.46 to $12.02
FacilityA hospital or hospital-owned outpatient department$19.95$12.02 to $27.54

How much rates vary

Facilitymedian $20 · 10th to 90th $9 to $33Professionalmedian $9 · 10th to 90th $6 to $21
$5$10$20$50$100facility $20professional $9

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
Facility
Modifier
Global
Typical Low
$9.77
Median
$20.42
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$25.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$12.02
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$26.30
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$16.98
Typical High
$81.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$23.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$15.14
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.80
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$14.45
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$28.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$27.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$38.90

Where New York 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.

New York· 36th of 51

$11.22

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.