go back

Antigen Test For A Specific Infection

Vermont 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 October 2026.

How much does Antigen Test For A Specific Infection cost?

$16.60

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $115 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.22$9.33 to $19.95
FacilityA hospital or hospital-owned outpatient department$115$19.95 to $195

How much rates vary

Facilitymedian $115 · 10th to 90th $12 to $204Professionalmedian $16 · 10th to 90th $7 to $22
$10$20$50$100$200facility $115professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$120.23
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$16.22
Typical High
$20.42
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$10.00
Typical High
$25.70

Where Vermont sits

The same service costs 4.5 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 11th of 51

$16.60

KS $38.02NJ $8.51

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.