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Antigen Test For A Specific Infection

Utah 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?

$12.59

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $56.23 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$11.22$9.12 to $13.80
FacilityA hospital or hospital-owned outpatient department$56.23$15.14 to $81.28

How much rates vary

Facilitymedian $56 · 10th to 90th $14 to $107Professionalmedian $11 · 10th to 90th $9 to $15
$10.0$20.0$50.0$100.0facility $56professional $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
$15.14
Median
$81.28
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.22
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$22.91
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$53.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.23
Typical High
$10.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.02
Typical High
$15.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.02
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$16.60

Where Utah 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.

Utah $12.59 · 25th 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.