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Rapid Infection Antigen Test

North Carolina 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?

$10.72

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $18.62 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$10.47 to $14.13
FacilityA hospital or hospital-owned outpatient department$18.62$11.22 to $60.26

How much rates vary

Facilitymedian $19 · 10th to 90th $10 to $170Professionalmedian $11 · 10th to 90th $8 to $17
$10$20$50$100$200facility $19professional $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
$10.47
Median
$19.95
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.72
Typical High
$17.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.32
Typical High
$8.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$35.48
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.47
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$25.70
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.71
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$26.30
Typical High
$39.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.96
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$15.85
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.94
Typical High
$16.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where North Carolina 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.

North Carolina· 49th of 51

$10.72

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.