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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 October 2026.

How much does Antigen Test For A Specific Infection cost?

$12.88

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $40.74 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$12.30 to $14.79
FacilityA hospital or hospital-owned outpatient department$40.74$20.89 to $63.10

How much rates vary

Facilitymedian $41 · 10th to 90th $13 to $91Professionalmedian $13 · 10th to 90th $10 to $19
$10$20$50$100facility $41professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$14.79
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$19.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.31
Median
$6.31
Typical High
$9.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.51
Median
$2.51
Typical High
$3.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$40.74
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$17.38
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$9.12
Typical High
$10.72
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$18.20
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$10.96
Typical High
$16.98

Where New Jersey sits

The same service costs 4.1 times more in Kansas than in Alabama. 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· 50th of 51

$12.88

KS $42.66AL $10.47

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.