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Antigen Test For A Specific Infection

New York 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?

$16.22

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $13.49 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 9 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$13.49$12.30 to $18.20
FacilityA hospital or hospital-owned outpatient department$29.51$18.20 to $42.66

How much rates vary

Facilitymedian $30 · 10th to 90th $13 to $50Professionalmedian $13 · 10th to 90th $8 to $32
$10$20$50$100facility $30professional $13

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
$31.62
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.55
Typical High
$41.69
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$18.20
Typical High
$18.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$41.69
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$24.55
Typical High
$107.15
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$20.89
Typical High
$44.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.96
Typical High
$35.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.49
Typical High
$20.42
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$33.11
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$22.39
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$21.88
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$13.49
Typical High
$41.69
Univera
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$29.51
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.22
Typical High
$47.86

Where New York 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 York· 37th of 51

$16.22

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.