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Antigen Test For A Specific Infection

New Jersey 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?

$11.22

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $26.92 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$9.77$8.51 to $11.22
FacilityA hospital or hospital-owned outpatient department$26.92$17.78 to $69.18

How much rates vary

Facilitymedian $27 · 10th to 90th $12 to $151Professionalmedian $10 · 10th to 90th $6 to $24
$10.0$100.0$1.0K$10.0Kfacility $27professional $10

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
$15.49
Median
$25.12
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$26.92
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$11.48
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$16.22

Where New Jersey 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.

New Jersey $11.22 · 33rd 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.