go back

Antigen Test For A Specific Infection

Idaho 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?

$13.80

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $21.38 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$12.02$11.22 to $23.44
FacilityA hospital or hospital-owned outpatient department$21.38$12.02 to $33.88

How much rates vary

Facilitymedian $21 · 10th to 90th $12 to $51Professionalmedian $12 · 10th to 90th $8 to $23
$10.0$20.0$50.0facility $21professional $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
$21.38
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$30.90
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$25.12
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$16.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.45
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$42.66
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.23
Typical High
$12.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$43.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$19.95

Where Idaho 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.

Idaho $13.80 · 20th 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.