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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 July 2026.

How much does Antigen Test For A Specific Infection cost?

$33.88

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $35.48 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 6 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$27.54$14.45 to $43.65
FacilityA hospital or hospital-owned outpatient department$35.48$33.88 to $35.48

How much rates vary

Facilitymedian $35 · 10th to 90th $21 to $35Professionalmedian $28 · 10th to 90th $12 to $45
$10.0$20.0$50.0facility $35professional $28

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
$12.88
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.45
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$61.66
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$22.91
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$16.60
Typical High
$23.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20

Where South Dakota 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.

South Dakota $33.88 · 1st 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.