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Antigen Test For A Specific Infection

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $41.69 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 4 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$14.45$13.80 to $16.22
FacilityA hospital or hospital-owned outpatient department$41.69$21.88 to $87.10

How much rates vary

Facilitymedian $42 · 10th to 90th $19 to $89Professionalmedian $14 · 10th to 90th $10 to $27
$10$20$50$100facility $42professional $14

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
$22.39
Median
$56.23
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$16.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.38
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$38.90
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$16.98
Typical High
$26.92

Where Rhode Island 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.

Rhode Island· 35th of 51

$16.98

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.