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Rapid Infection Antigen Test

South Dakota 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?

$26.92

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $97.72 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$25.70$12.59 to $36.31
FacilityA hospital or hospital-owned outpatient department$97.72$25.70 to $141

How much rates vary

Facilitymedian $98 · 10th to 90th $15 to $141Professionalmedian $26 · 10th to 90th $9 to $191
$10$20$50$100$200$500facility $98professional $26

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
$97.72
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.59
Typical High
$190.55
Avera
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.70
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$19.05
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.32
Typical High
$16.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$12.02
Typical High
$17.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18

Where South Dakota 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.

South Dakota· 2nd of 51

$26.92

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.