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Antigen Test For A Specific Infection

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $29.51 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 6 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$15.14$13.80 to $18.20
FacilityA hospital or hospital-owned outpatient department$29.51$18.20 to $81.28

How much rates vary

Facilitymedian $30 · 10th to 90th $18 to $105Professionalmedian $15 · 10th to 90th $9 to $22
$10.0$20.0$50.0$100.0facility $30professional $15

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
$18.20
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.79
Typical High
$18.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$104.71
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$22.91
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.62
Typical High
$23.99
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$18.20
Typical High
$22.39
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$18.20
Typical High
$30.90

Where Maine 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.

Maine $18.20 · 30th 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.