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Antigen Detection For A Group Of Organisms

Alabama rates for HCPCS 87451

A laboratory test that looks for germ material directly in a sample using an antibody-based method, with a reagent that reacts with a group of related organisms rather than a single one. It gives a faster answer than growing the organism in culture. A positive result usually leads to further testing to identify the specific organism.

Rates data updated July 2026.

How much does Antigen Detection For A Group Of Organisms cost?

$11.22

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $12.02 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 4 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$9.12$7.94 to $12.02
FacilityA hospital or hospital-owned outpatient department$12.02$10.47 to $12.59

How much rates vary

Facilitymedian $12 · 10th to 90th $10 to $16Professionalmedian $9 · 10th to 90th $7 to $12
$5$10$20facility $12professional $9

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
$10.47
Median
$12.02
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.12
Typical High
$12.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.75
Typical High
$15.85
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.76
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.89
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$9.55
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$13.49

Where Alabama sits

The same service costs 2.5 times more in South Dakota 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.

Alabama· 17th of 51

$11.22

SD $19.95DC $7.94

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.