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Antigen Test For A Specific Infection

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $39.81 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 9 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$14.79 to $23.44
FacilityA hospital or hospital-owned outpatient department$39.81$23.99 to $53.70

How much rates vary

Facilitymedian $40 · 10th to 90th $15 to $78Professionalmedian $18 · 10th to 90th $11 to $43
$10$50$200$1Kfacility $40professional $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
$18.20
Median
$31.62
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$50.12
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$22.91
Typical High
$87.10
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$18.20
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.38
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$25.70
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$20.89
Typical High
$47.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$162.18
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$31.62
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$39.81
Health New England
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$22.91
Typical High
$87.10
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$18.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$18.20
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$41.69

Where Massachusetts sits

The same service costs 2.5 times more in South Dakota than in Maryland. 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.

Massachusetts· 28th of 51

$18.20

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.