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Antigen Test For A Specific Infection

Pennsylvania 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?

$17.38

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $42.66 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$14.79$14.45 to $17.38
FacilityA hospital or hospital-owned outpatient department$42.66$22.39 to $54.95

How much rates vary

Facilitymedian $43 · 10th to 90th $15 to $100Professionalmedian $15 · 10th to 90th $13 to $33
$10$20$50$100facility $43professional $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
$15.49
Median
$42.66
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.79
Typical High
$43.65
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$26.92
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.38
Typical High
$39.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.72
Typical High
$26.30
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.20
Typical High
$31.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$95.50
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$42.66
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.79
Typical High
$53.70
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$81.28
Typical High
$169.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.20
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$18.20
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.49
Typical High
$28.84

Where Pennsylvania 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.

Pennsylvania· 32nd of 51

$17.38

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.