go back

Antigen Test For A Specific Infection

Massachusetts 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?

$14.13

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $29.51 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$12.02$11.22 to $18.20
FacilityA hospital or hospital-owned outpatient department$29.51$16.98 to $36.31

How much rates vary

Facilitymedian $30 · 10th to 90th $11 to $51Professionalmedian $12 · 10th to 90th $10 to $35
$10.0$100.0$1.0K$10.0Kfacility $30professional $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
$10.96
Median
$27.54
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$51.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$70.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$13.49
Typical High
$31.62
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$117.49
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$20.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$34.67
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$70.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$12.02
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$30.20

Where Massachusetts 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.

Massachusetts $14.13 · 16th 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.