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Antigen Test For A Specific Infection

New Jersey 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?

$19.50

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $38.02 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 5 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$12.59 to $19.50
FacilityA hospital or hospital-owned outpatient department$38.02$24.55 to $102

How much rates vary

Facilitymedian $38 · 10th to 90th $18 to $224Professionalmedian $15 · 10th to 90th $12 to $47
$10$100$1K$10Kfacility $38professional $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
$23.44
Median
$31.62
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$40.74
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.22
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$18.62
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.22
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$18.20
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$22.91

Where New Jersey 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.

New Jersey· 23rd of 51

$19.50

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.