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Antigen Test For A Specific Infection

Missouri 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?

$19.95

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $25.12 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$17.78$11.22 to $29.51
FacilityA hospital or hospital-owned outpatient department$25.12$18.20 to $32.36

How much rates vary

Facilitymedian $25 · 10th to 90th $18 to $43Professionalmedian $18 · 10th to 90th $8 to $39
$10.0$20.0$50.0$100.0facility $25professional $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
$17.78
Median
$30.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.78
Typical High
$38.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.13
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$32.36
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$35.48
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$17.38
Typical High
$42.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$34.67
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$18.20
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$22.91

Where Missouri 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.

Missouri $19.95 · 21st 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.