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Antigen Test For A Specific Infection

Virginia 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?

$15.49

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $21.88 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 8 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$13.80$12.88 to $15.49
FacilityA hospital or hospital-owned outpatient department$21.88$18.20 to $45.71

How much rates vary

Facilitymedian $22 · 10th to 90th $15 to $95Professionalmedian $14 · 10th to 90th $8 to $41
$10$100$1K$10Kfacility $22professional $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
$15.49
Median
$40.74
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.45
Typical High
$34.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$13.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$41.69
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$28.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.88
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$27.54
Typical High
$32.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$26.92
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$38.90
Sentara
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$24.55
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$18.20
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$17.38

Where Virginia 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.

Virginia· 40th of 51

$15.49

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.