go back

Antigen Test For A Specific Infection

Ohio 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?

$16.98

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $25.70 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 8 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$9.55 to $17.78
FacilityA hospital or hospital-owned outpatient department$25.70$18.20 to $39.81

How much rates vary

Facilitymedian $26 · 10th to 90th $15 to $60Professionalmedian $15 · 10th to 90th $8 to $38
$5.0$10.0$20.0$50.0$100.0facility $26professional $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
$15.14
Median
$33.11
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.23
Typical High
$22.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$20.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$23.99
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.72
Typical High
$31.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$23.99
Typical High
$75.86
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.72
Typical High
$30.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$17.38
Typical High
$22.91
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$18.20
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$22.91

Where Ohio 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.

Ohio $16.98 · 34th 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.