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Antigen Test For A Specific Infection

Washington 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?

$19.50

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $28.84 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 9 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$17.38$16.60 to $21.88
FacilityA hospital or hospital-owned outpatient department$28.84$18.20 to $38.02

How much rates vary

Facilitymedian $29 · 10th to 90th $18 to $68Professionalmedian $17 · 10th to 90th $10 to $35
$10.0$20.0$50.0$100.0facility $29professional $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
$17.38
Median
$35.48
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$120.23
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$50.12
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$38.90
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$19.50
Typical High
$28.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.22
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$37.15
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$32.36
Typical High
$50.12
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$21.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$27.54
Typical High
$50.12
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$21.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.55
Typical High
$33.11

Where Washington 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.

Washington $19.50 · 22nd 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.