go back

Fluorescent Antibody Test For An Organism

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $16.60 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 8 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$9.55$6.92 to $12.02
FacilityA hospital or hospital-owned outpatient department$16.60$12.02 to $26.30

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $39Professionalmedian $10 · 10th to 90th $6 to $28
$10$20$50$100facility $17professional $10

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
$22.91
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.22
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$15.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$13.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$15.49
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$22.91
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$15.85
Typical High
$48.98
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$22.39
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$11.22
Typical High
$14.79
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.59
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.60

Where Ohio 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.

Ohio· 37th 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.