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Rapid Infection Antigen Test

Massachusetts 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?

$16.60

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $30.20 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$13.18$12.59 to $19.95
FacilityA hospital or hospital-owned outpatient department$30.20$19.95 to $46.77

How much rates vary

Facilitymedian $30 · 10th to 90th $13 to $135Professionalmedian $13 · 10th to 90th $11 to $35
$10$50$200$1Kfacility $30professional $13

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
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$51.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$70.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$32.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$19.05
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$15.14
Typical High
$34.67
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$117.49
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$34.67
Health New England
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.12
Typical High
$28.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$70.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$13.18
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$30.20

Where Massachusetts 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.

Massachusetts· 21st of 51

$16.60

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.