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Antigen Detection For A Group Of Organisms

Connecticut 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?

$8.71

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $16.60 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 5 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$8.71$7.24 to $8.71
FacilityA hospital or hospital-owned outpatient department$16.60$11.48 to $23.44

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $30Professionalmedian $9 · 10th to 90th $5 to $13
$5$10$20$50facility $17professional $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
$18.62
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$8.71
Typical High
$11.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.46
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$16.60
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.48
Typical High
$15.85
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.47
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$10.47
Typical High
$19.50

Where Connecticut 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.

Connecticut· 40th of 51

$8.71

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.