go back

Antigen Detection For A Group Of Organisms

Colorado 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?

$10.47

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $27.54 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$8.13$7.94 to $9.12
FacilityA hospital or hospital-owned outpatient department$27.54$14.13 to $43.65

How much rates vary

Facilitymedian $28 · 10th to 90th $8 to $54Professionalmedian $8 · 10th to 90th $6 to $10
$5$10$20$50facility $28professional $8

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
$6.61
Median
$22.91
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.13
Typical High
$9.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.47
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$7.41
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.31
Typical High
$12.59
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$11.48
Typical High
$19.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$93.33
Typical High
$93.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$19.50
Typical High
$21.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.47
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$10.47

Where Colorado 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.

Colorado· 19th of 51

$10.47

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.