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Antigen Test For A Specific Infection

North Carolina 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?

$14.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $19.95 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$14.79$14.45 to $15.85
FacilityA hospital or hospital-owned outpatient department$19.95$15.85 to $39.81

How much rates vary

Facilitymedian $20 · 10th to 90th $14 to $62Professionalmedian $15 · 10th to 90th $11 to $24
$10.0$20.0$50.0$100.0facility $20professional $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
$14.79
Median
$17.78
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.79
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$70.79
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.79
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$35.48
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.75
Typical High
$27.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$42.66
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$19.95
Typical High
$32.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$21.88
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$22.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10

Where North Carolina 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.

North Carolina $14.79 · 45th 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.