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Legionella Fluorescent Antigen Test

Virginia 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 July 2026.

How much does Legionella Fluorescent Antigen Test cost?

$13.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $18.62 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$11.75$10.23 to $13.18
FacilityA hospital or hospital-owned outpatient department$18.62$15.49 to $38.90

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $74Professionalmedian $12 · 10th to 90th $6 to $32
$10.0$100.0$1.0K$10.0Kfacility $19professional $12

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
$11.75
Median
$33.11
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$29.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$10.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$30.90
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$20.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.62
Typical High
$22.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$19.95
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$33.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$20.42
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$20.42
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$15.49
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.76
Typical High
$15.49

Where Virginia sits

The same service costs 2.3 times more in North Dakota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $13.18 · 38th of 51
ND $26.30FL $11.22

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.