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Antigen Test For A Specific Infection

Colorado rates for HCPCS 87301

A laboratory test that detects an infectious organism directly in a sample, using antibodies that latch onto part of the organism itself. Because it looks for the organism rather than the body's response to it, a positive result points to infection at the time the sample was taken.

Rates data updated July 2026.

How much does Antigen Test For A Specific Infection cost?

$12.02

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $30.90 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 7 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$9.12$9.12 to $11.22
FacilityA hospital or hospital-owned outpatient department$30.90$15.85 to $50.12

How much rates vary

Facilitymedian $31 · 10th to 90th $9 to $60Professionalmedian $9 · 10th to 90th $7 to $12
$5.0$20.0$100.0$500.0facility $31professional $9

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
$7.59
Median
$26.30
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$11.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$35.48
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$8.32
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.94
Typical High
$14.45
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$24.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$134.90
Typical High
$134.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$22.39
Typical High
$25.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$12.02

Where Colorado sits

The same service costs 2.6 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $12.02 · 28th of 51
SD $22.91DC $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.