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Legionella Fluorescent Antigen Test

Maryland 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?

$11.75

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $11.75 for this service. Most negotiated rates run $9.77 to $12.59.

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.

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $20Professionalmedian $12 · 10th to 90th $7 to $15
$10$20facility $10professional $12

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.75
CareFirst
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$12.59
Typical High
$12.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$10.23
Typical High
$20.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$13.18
Typical High
$38.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$17.78
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$7.76
Typical High
$13.18
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$12.30
Typical High
$12.30
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.75
Median
$5.89
Typical High
$5.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.29
Median
$2.34
Typical High
$2.34

Where Maryland 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.

Maryland· 46th of 51

$11.75

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.