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Antigen Detection For A Group Of Organisms

Washington, DC 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?

$7.94

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $17.78 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$7.94$7.94 to $7.94
FacilityA hospital or hospital-owned outpatient department$17.78$7.94 to $35.48

How much rates vary

Facilitymedian $18 · 10th to 90th $8 to $66Professionalmedian $8 · 10th to 90th $8 to $33
$5$10$20$50$100facility $18professional $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
$7.94
Median
$35.48
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$48.98
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$17.78
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$12.02
Typical High
$81.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.31
Typical High
$19.95

Where Washington, DC 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.

Washington, DC· 51st of 51

$7.94

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.