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Antigen Test For A Specific Infection

Utah 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?

$18.20

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $77.62 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$16.60$14.13 to $20.89
FacilityA hospital or hospital-owned outpatient department$77.62$20.89 to $112

How much rates vary

Facilitymedian $78 · 10th to 90th $21 to $148Professionalmedian $17 · 10th to 90th $13 to $21
$10.0$20.0$50.0$100.0$200.0facility $78professional $17

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
$20.89
Median
$112.20
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$17.38
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$31.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$74.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.49
Typical High
$16.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.20
Typical High
$23.99
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.78
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.77
Typical High
$22.91

Where Utah 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.

Utah $18.20 · 26th 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.