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Legionella Fluorescent Antigen Test

Iowa rates for HCPCS 87278

A laboratory test that looks for Legionella pneumophila, the bacterium behind Legionnaires' disease, in a sample taken from the lungs or airway. The sample is treated with antibodies carrying a fluorescent tag and examined under a special microscope, so the bacteria glow if they are present. It is used when a severe pneumonia may be caused by this organism.

Rates data updated October 2026.

How much does Legionella Fluorescent Antigen Test cost?

$17.78

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $21.88 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.49$10.00 to $27.54
FacilityA hospital or hospital-owned outpatient department$21.88$18.62 to $37.15

How much rates vary

Facilitymedian $22 · 10th to 90th $15 to $44Professionalmedian $15 · 10th to 90th $9 to $35
$10$20$50$100facility $22professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$30.20
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$12.30
Typical High
$18.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$29.51
Typical High
$43.65
Hally Health
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$28.18
Typical High
$64.57
Medica
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$21.88
Typical High
$43.65
Medica
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$16.22
Typical High
$34.67
Midlands
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$20.42
Midlands
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$39.81
United
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$10.47
Typical High
$18.62
Wellmark
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$15.49
Typical High
$15.49

Where Iowa sits

The same service costs 3.6 times more in Kansas than in Nebraska. 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.

Iowa· 15th of 51

$17.78

KS $38.02NE $10.47

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.