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Nationwide rates for HCPCS 87426

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])

Facilitymedian $58 · 10th–90th $27$1660%10%10th90th$58Professionalmedian $45 · 10th–90th $32$890%20%40%10th90th$45$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $60.26 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $58.88 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $57.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $40.74 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $35.48 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $56.23