search again

Nationwide rates for HCPCS 87428

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]) and influenza virus types A and B

Facilitymedian $105 · 10th–90th $56$3160%10%20%10th90th$105Professionalmedian $72 · 10th–90th $40$1660%20%40%10th90th$72$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$70.79 / $114.82 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $74.13 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $95.50 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $114.82 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $102.33 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $70.79 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $107.15