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Rapid Infection Antigen Test

Iowa rates for HCPCS 87385

This laboratory test detects a specific infection-causing organism directly in a urine sample by finding pieces of the organism itself rather than growing it in a culture. Because it doesn't require waiting for growth, it can often give a faster result than traditional culture-based testing. It's ordered when a doctor suspects a specific infection and wants a quicker answer than a culture would provide.

Rates data updated July 2026.

How much does Rapid Infection Antigen Test cost?

$20.89

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $29.51 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 7 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$20.89$10.23 to $77.62
FacilityA hospital or hospital-owned outpatient department$29.51$17.38 to $41.69

How much rates vary

Facilitymedian $30 · 10th to 90th $13 to $174Professionalmedian $21 · 10th to 90th $9 to $87
$10$20$50$100$200facility $30professional $21

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
$13.18
Median
$31.62
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$20.89
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.70
Typical High
$31.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.99
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.38
Typical High
$41.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$14.79
Typical High
$33.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$17.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.18
Typical High
$13.18

Where Iowa sits

The same service costs 4.0 times more in Nebraska than in Washington, DC. 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.

Iowa· 6th of 51

$20.89

NE $39.81DC $10.00

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.