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Legionella Fluorescent Antigen Test

North Carolina 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?

$12.59

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $15.85 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.72$7.94 to $15.14
FacilityA hospital or hospital-owned outpatient department$15.85$12.59 to $33.11

How much rates vary

Facilitymedian $16 · 10th to 90th $11 to $71Professionalmedian $11 · 10th to 90th $8 to $19
$10$20$50facility $16professional $11

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
$12.59
Median
$12.59
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$12.59
Typical High
$13.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$34.67
Typical High
$50.12
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$33.88
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$8.71
Typical High
$20.42
Medcost
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$26.30
Typical High
$50.12
Medcost
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$12.59
Typical High
$23.99
Medcost
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$16.60
Typical High
$37.15
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
United
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$8.13
Typical High
$16.22

Where North Carolina 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.

North Carolina· 35th of 51

$12.59

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.