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Antigen Test For A Specific Infection

Colorado rates for HCPCS 87380

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?

$18.20

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $47.86 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 7 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$14.13$13.80 to $15.49
FacilityA hospital or hospital-owned outpatient department$47.86$24.55 to $75.86

How much rates vary

Facilitymedian $48 · 10th to 90th $14 to $93Professionalmedian $14 · 10th to 90th $11 to $18
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $48professional $14

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
$11.48
Median
$39.81
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.13
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$54.95
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.88
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.72
Typical High
$21.88
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.95
Typical High
$38.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$158.49
Typical High
$158.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$33.88
Typical High
$38.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$18.20
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$17.38

Where Colorado sits

The same service costs 2.5 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $18.20 · 27th of 51
SD $33.88MD $13.80

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.