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Antigen Test For A Specific Infection

South Dakota 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?

$20.89

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $25.12 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$12.30 to $35.48
FacilityA hospital or hospital-owned outpatient department$25.12$20.89 to $35.48

How much rates vary

Facilitymedian $25 · 10th to 90th $18 to $56Professionalmedian $21 · 10th to 90th $11 to $44
$10$20$50facility $25professional $21

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$20.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$17.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$35.48
Typical High
$43.65
Medica
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$20.89
Typical High
$61.66
Medica
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$16.60
Typical High
$22.91
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$42.66
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$11.48
Typical High
$21.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20

Where South Dakota 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.

South Dakota· 14th of 51

$20.89

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.