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Antigen Test For A Specific Infection

West Virginia 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?

$9.77

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $17.78 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 4 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$9.55$8.91 to $9.77
FacilityA hospital or hospital-owned outpatient department$17.78$9.77 to $27.54

How much rates vary

Facilitymedian $18 · 10th to 90th $10 to $91Professionalmedian $10 · 10th to 90th $7 to $11
$5.0$10.0$20.0$50.0$100.0facility $18professional $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
$9.77
Median
$17.78
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$11.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$25.70
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$23.44
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$16.60

Where West Virginia 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.

West Virginia $9.77 · 46th 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.