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Antigen Test For A Specific Infection

West 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?

$15.14

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $22.91 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 4 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$14.79$13.80 to $15.14
FacilityA hospital or hospital-owned outpatient department$22.91$15.14 to $27.54

How much rates vary

Facilitymedian $23 · 10th to 90th $15 to $28Professionalmedian $15 · 10th to 90th $10 to $15
$10$20$50$100facility $23professional $15

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
$15.14
Median
$22.91
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.79
Typical High
$15.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$41.69
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$31.62
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$22.91

Where West 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.

West Virginia· 43rd of 51

$15.14

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.