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Rapid Infection Antigen Test

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $41.69 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 6 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$8.91 to $11.22
FacilityA hospital or hospital-owned outpatient department$41.69$21.38 to $105

How much rates vary

Facilitymedian $42 · 10th to 90th $13 to $282Professionalmedian $11 · 10th to 90th $6 to $32
$10$100$1K$10Kfacility $42professional $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
$16.60
Median
$41.69
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$31.62
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$104.71
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$28.84
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.48
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.75
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$16.22

Where New Jersey 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.

New Jersey· 20th 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.