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Antigen Test For A Specific Infection

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 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 6 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$9.12 to $12.02
FacilityA hospital or hospital-owned outpatient department$19.50$12.02 to $53.70

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $107Professionalmedian $12 · 10th to 90th $6 to $15
$5.0$10.0$20.0$50.0$100.0facility $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
$12.02
Median
$12.02
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.77
Typical High
$12.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$107.15
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$16.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.02
Typical High
$14.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$53.70
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$23.44

Where Maine 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.

Maine $12.02 · 27th 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.