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Antigen Test For A Specific Infection

Connecticut 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?

$10.72

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $19.50 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 5 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$10.72$10.72 to $10.96
FacilityA hospital or hospital-owned outpatient department$19.50$14.13 to $26.30

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $33Professionalmedian $11 · 10th to 90th $6 to $15
$5.0$10.0$20.0$50.0$100.0facility $19professional $11

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
$12.02
Median
$20.42
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$12.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$19.50
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$18.62
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$20.89

Where Connecticut 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.

Connecticut $10.72 · 39th 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.