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Texas 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 $102 · 10th–90th $40$3310%10%10th90th$102Professionalmedian $72 · 10th–90th $39$1170%20%40%10th90th$72$5.0$20.0$100.0$500.0

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
$60.26 / $120.23 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $75.86 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $43.65 / $95.50
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $97.72 / $131.83
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $75.86 / $117.49
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $102.33
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $524.81 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $89.13 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $74.13 / $120.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $54.95 / $67.61
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $691.83 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $151.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $147.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $74.13 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $70.79 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $34.67 / $87.10
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $58.88