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Antigen Test For A Specific Infection

Iowa 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?

$21.88

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $31.62 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$18.20$14.13 to $43.65
FacilityA hospital or hospital-owned outpatient department$31.62$18.20 to $48.98

How much rates vary

Facilitymedian $32 · 10th to 90th $14 to $54Professionalmedian $18 · 10th to 90th $12 to $120
$10.0$20.0$50.0$100.0facility $32professional $18

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
$14.13
Median
$43.65
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$35.48
Typical High
$43.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$33.11
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$57.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$19.95
Typical High
$45.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$23.99
Midlands
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$18.20

Where Iowa 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.

Iowa $21.88 · 12th 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.