go back

Rapid Infection Antigen Test

Illinois 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?

$19.95

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $33.11 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$10.72$9.12 to $15.49
FacilityA hospital or hospital-owned outpatient department$33.11$19.95 to $191

How much rates vary

Facilitymedian $33 · 10th to 90th $13 to $288Professionalmedian $11 · 10th to 90th $3 to $27
$5$10$20$50$100$200$500facility $33professional $11

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
$36.31
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$26.92
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$32.36
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$9.12
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$28.84
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$15.49
Typical High
$23.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$24.55
Typical High
$208.93
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$13.18
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$9.12
Typical High
$14.13

Where Illinois 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.

Illinois· 10th of 51

$19.95

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.